2022 Comprehensive COVID-19 Guide Updated January 5, 2022

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2022 Comprehensive Covid-19 Guide On November 20, 2020. CMS released MLN Matters MM12049: https://www.cms.gov/files/document/mm12049.pdf

Condition Code DR – CMS has instructed providers to report these codes when care is provided under one of the Section 1135 waivers to address the Public Health Emergency. These codes do not affect payment. They are not necessary on Medicare telehealth services. When all services or items billed on the claim are related to a COVID-19 waiver, Condition Code DR is used by institutional providers and Modifier CR is for both institutional and non-institutional providers. On August 26, 2020, CMS revised its document that discusses the use of these modifiers and condition code DR in MLN SE20011 "Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19)." https://www.cms.gov/files/document/se20011.pdf

Modifiers Modifier CR The Catastrophe Related (CR) modifier is an informational billing indicator to assist Medicare in collecting information on when services were permissible due to a waiver.

© 2022 PARA HealthCare Analytics, an HFRI Company – January 2022 CPT® is a registered trademark of the American Medical Association

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