Features Navigation

Live Chat (800) 825-0224 Live Demo

← Back

New ICD-10 Procedure Codes Released for COVID-19 Treatment

Medical Billing

We’re used to new International Classification of Disease (ICD) codes coming out at the beginning of each year, but just like everything else in 2020, things have changed a bit. As COVID-19 has rapidly changed the needs for clinics and providers, one thing that became abundantly clear at the beginning of the year was the need for new codes. The Centers for Medicare and Medicaid Services (CMS) and payers are using new ICD-10 codes, along with Healthcare Common Procedure Coding System (HCPCS) and Current Procedural Terminology (CPT) codes to help with coronavirus testing and treatment as a result of a completely new disease.

What to Know About New ICD-10 and HCPCS Codes

The new codes were released in late July and are effective starting August 1, 2020. They are labeled as “V37.2” and it includes 12 total procedure codes for COVID-19:

  • Six of the procedure codes are related to three substances used to treat COVID-19: Remdesivir Anti-Infective, Sarilumab (Kevzara), and Tocilizumab
  • Two codes are for the use of convalescent plasma, which has been shown to help patients with severe infection by injecting plasma from donors who have antibodies for COVID-19 after surviving the disease
  • Additional codes are available for “Other New Technology Therapeutic Substance” which can help with coding for therapies and treatments that don’t fall into other categories.

All of the new codes require the Qualifier New Technology Group 5, indicating they are valid for the 2020 fiscal year.

CMS Codes

CMS also introduced several new CPT and HCPCS codes earlier in the year for clinics and providers to use when seeing patients for testing, specifically laboratory tests for COVID-19. These new codes were in addition to announcements about medical billing and coding for telemedicine visits, which expanded reimbursement rates for telemedicine visits performed while clinics were shut down and unable to see patients in person.

Preparing Medical Billing Staff

It’s important to have medical billing staff who might be using these codes trained and properly informed about the new codes. Without them, you may not be able to bill for specific treatments or services.

Consider Engaging Medical Billing Services

There is a lot of change right now, and many smaller clinics are finding it difficult to keep up with medical billing and coding with only limited staff. If your internal staff members are struggling to keep up with the changes, consider hiring a medical billing service temporarily. These services offer expertise in medical billing and can ensure that any new codes are available and properly used to avoid billing errors, delayed reimbursements, and other concerns that might come up. At a time when many clinics are struggling with revenues, the increase in billing collections could help significantly.

Contact AdvancedMD today to learn about our available medical billing services and how they can benefit your clinic.


Topic: Medical Billing

Other Resources Related to This Topic


Unlock Untapped EHR Power

Many billing professionals are surprised to find that their search for cost-reducing, profit-boosting options for...

Medical Billing

12 Hidden Costs and One Knockout Punch of In-house Medical Billing

Learn why outsourcing might be much less expensive than you think. At some point in...

Revenue Cycle Management

4 Signs You Need to Outsource Your Revenue Cycle

High performing practices should be processing claims around 28 days from date-of-service. The higher your...

“Other companies made their offers, but they required so much more money up front, I’ve seen a lot of different systems in my 18 years in billing. If you are looking for an easy-to-learn, cost-effective solution, AdvancedMD is your answer.”

Gloria Johnson
Billing manager

“Having complete, complex reports right at your fingertips is invaluable to your practice’s health–it’s charting waters to these uncertain business times.”

Ron Rosenberg, PA
Practice Management Resource Group

Read the story  ›

“[Our] patients are very well-educated and well-informed, and they want to see results quickly. The practice has to run extremely efficiently and be accessible to them. The nice thing about [AdvancedMD] is it has allowed me to be more efficient both in and out of the office. Now I don’t have to come back into the office, which is great for my family and everything else. It saves me a lot of time – probably an hour a day on the three days I work in the second office.”

Keith Berkowitz, MD
Center for Balanced Health

Read the story  ›

“Our workflow has diminished as far as the redundancies, having to do the back-and-click here or check on this and check on that—it’s all right there!”

Johnette Lamborne
Office manager