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Wiki SNF Covid Testing

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millergk@live.com

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Mount Airy, MD
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We are a Skilled Nursing Facility and it has been mandated by the state that we test every staff member weekly for COVID19. What diagnosis code should we be using for the test? We were thinking Z03.818. Our staff does not display any signs or symptoms and we want to make sure we are not suggesting that we feel we have might have a positive staff member. We are trying to bill for the Specimen Collection G2023 and what diagnosis should be giving when submitting to the lab? Thank you.
 
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According to the latest AHA guidelines, Z20.828 - Contact with and (suspected) exposure to other viral communicable diseases - should be used for testing of asymptomatic patients during the pandemic.
 
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millergk@live.com said:
Even if there was no contact or exposure?
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Yes, under normal circumstances, testing of asymptomatic patients would be coded as a screening (Z11.59), but this is an exception due to the pandemic:

"During the COVID-19 pandemic, a screening code is generally not appropriate. For encounters for COVID-19 testing, including preoperative testing, code as exposure to COVID-19 (code Z20.828)."

"For asymptomatic individuals with actual or suspected exposure to COVID-19, assign code Z20.828, Contact with and (suspected) exposure to other viral communicable diseases."

You can find the guidance here:
 
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