COVID-19 updates: Add CR modifier to COVID-19 diagnosis claims

Updated: March 27, 2020

Provider offices, urgent care and emergency rooms should bill us using a CR modifier anytime the visit resulted in a COVID-19 test being ordered. Facilities should also use condition code DR to identify when the services provided resulted in a COVID-19 test being administered.

If you have claims that resulted in the ordering of a COVID-19 test, you should rebill claims using a CR modifier dating back to February 4, 2020. Using this modifier will ensure your patients have a $0 cost share for any visit and services related to the diagnostic testing and administration of the test.

This modifier should not be added to services billed for treatment of COVID-19.

Learn more and find additional information on our COVID-19 information page for providers.