February 16, 2021

State of Alabama
Press Release: Medicaid

COVID-19 Monoclonal Antibody Infusion

PDF Version

TO:  Hospitals

 

As Alabama Medicaid continues to monitor the COVID-19 national emergency in Alabama, Medicaid is adding the following procedure codes for coverage:


CPT CODE

SUMMARY

Effective date

M0239

Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring

11/10/2020

M0243

Intravenous infusion, casirivimab and imdevimab includes infusion and post administration monitoring

11/21/2020


Providers may submit claims for dates of service on or after the effective dates for each procedure code as listed above.

 

Providers may find the reimbursement rates for the COVID-19 testing procedure codes on Medicaid’s website at www.Medicaid.Alabama.gov by selecting Fee Schedules under the Providers tab.

 

As a reminder, providers must deliver services within their scope of practice and have the proper certification and licensure to perform these tests. 

 

During the COVID-19 emergency, it is important to file claims as quickly as possible to ensure payment from Medicaid to Medicaid providers close to the date of service. The Centers for Medicare and Medicaid Services (CMS) has increased the federal matching percentage for the emergency time frame, but states can only receive the increased match on claims paid during the emergency. Providers should include appropriate COVID-19 diagnosis code(s) on claims submitted to help with tracking of COVID-19.

 

For questions, please visit the Medicaid website at www.Medicaid.Alabama.gov, or call the Medicaid Fiscal Agent at 1-800-688-7989.

Contacts: callie.johnson@medicaid.alabama.gov,

solomon.williams@medicaid.alabama.gov or

elizabeth.huckabee@medicaid.alabama.gov

 



The Current Procedural Terminology (CPT) and Current Dental Terminology (CDT) codes descriptors, and other data are copyright © 2021 American Medical Association and © 2021 American Dental Association (or such other date publication of CPT and CDT). All rights reserved. Applicable FARS/DFARS apply.




  • For more information, visit http://medicaid.alabama.gov
  • For more state-wide press releases, click here