I found out the hard way too!! Claims being denied. I have been advised that Medicaid is not paying for TB test any longer. We were billing for $15.00 on the pharmacy claim and $5.00 for an office visit reading and getting denied for the pharmacy part. According to what I was told, claims for dates of service after Sept 1, 2017 TB tests are no longer being covered because they are a “non-rebate product”. Apparently, there is no longer a federal rebate for this item, therefore Medicaid has decided not to cover the test. This information is on Provider Bulletin dated Aug 10, 2017 under Non-Rebate Eligible Products.
We are now billing an office visit 99211 under ICD-10 code Z11.1 for $10.00 when the test is placed and another office visit 99211 under ICD-10 Z11.1 for $10.00 when they come back to get their reading.