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- UPDATE: CR Modifier
UPDATE: CR Modifier
Oct. 2, 2020
BlueCross BlueShield of South Carolina and BlueChoice® HealthPlan continue to cover testing services to diagnose COVID-19 at 100 percent of the allowed amount for members when medically necessary and prescribed by a health provider.
At the beginning of the COVID-19 pandemic, limited coding was available. As a result, several CPT codes, diagnoses and modifiers were implemented to help identify COVID-19 related services that were to be covered at 100 percent; one of which was the CR modifier.
Now that explicit coding has been established to help identify COVID-19 related services, the CR modifier is no longer required on claims. Claims should be submitted with one of the explicit CPT and diagnosis codes related to COVID-19. A sample of the codes to be used include:
CPT Codes:
- U0001
- U0002
- U0003
Diagnosis Codes:
- U07.1
- B97.29
- Z03.818
If you have any questions, you may contact Provider Education at Provider.Education@bcbssc.com.