Zika Virus Testing — New Medicaid Instructions for Laboratories and Ordering Physicians

Laboratories must use a U4 modifier when submitting Medicaid claims for Zika virus testing, the Texas Medicaid and Healthcare Partnership (TMHP) announced on May 5.

The U4 modifier should be used with procedure codes 86790, 87798, or 87799 for procedures done starting May 5, TMHP said.

"To ensure laboratories are able to submit Zika virus testing claims correctly, the ordering provider must clearly indicate when a test is for Zika virus screening," TMHP said.

More information can be found on the TMHP website or by calling the TMHP Contact Center at (800) 925-9126 or the TMHP-CSHCN Services Program Contact Center at (800) 568-2413.

Action, May 15, 2017

Last Updated On

May 03, 2018

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