March 2021 Insurance Update
Wellmed Announces Agreement with Humana
Wellmed recently signed an agreement with Humana to offer a new Humana Wellmed plan. This plan is similar to Wellmed plans with United Healthcare and Amerigroup, but there are important considerations.
For instance, the Wellmed contract supersedes even if you are contracted with Humana Medicare Advantage plans. If the insurance card has the Wellmed logo, the Wellmed contract supersedes. Get more details about accepted insurance plans here – or contact our team for questions about how this impacts your practice.
New ICD-10-CM Codes for COVID-19 Related Conditions
The Centers for Disease Control and Prevention (CDC) recently announced six new ICD-10-CM codes to identify conditions related to COVID-19. Here’s a breakdown of the updates:
| Code | Condition | Considerations |
| J12.82 | Pneumonia due to COVID-19 | |
| M35.81 | Multisystem inflammatory syndrome | A tabular note under code M35.81 instructs coders to use additional codes to report complications associated with multisystem inflammatory syndrome such as: Acute hepatic failure (K72.0-)Acute kidney failure (N17.-)Acute myocarditis (I40.-)Acute respiratory distress syndrome (J80)Cardiac arrhythmia (I47-I49.-)Pneumonia due to COVID-19 (J12.82)Severe sepsis (R65.2-)Viral cardiomyopathy (B33.24)Viral pericarditis (B33.23) Coders who report a diagnosis of multisystem inflammatory system using code M35.81 are also instructed to use additional codes, if applicable, to report: Exposure to COVID-19 or SARS-CoV-2 infection (Z20.822)Personal history of COVID-19 (Z86.16)Sequelae of COVID-19 (B94.8) |
| M35.89 | Other specified systemic involvement of connective tissue | When reporting code J12.82 or M35.81, coders must first report code U07.1 for COVID-19, if applicable. |
| Z11.52 | Encounter for screening for COVID-19 | |
| Z20.822 | Contact with and (suspected) exposure to COVID-19 | |
| Z86.16 | personal history of COVID-19 |
Contact our team for help understanding what these coding updates mean for you and your practice.
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