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Health First Colorado (Colorado's Medicaid Program) News and Updates (B2100458 - 01/2021)

Colorado Medicaid·CO · Orthopedics, General Surgery, Cardiothoracic Surgery +23 more·Provider Bulletin
Effective date
Jan 1, 2021
We identified it
Jun 20, 2026
Days to comply

Summary

Colorado Medicaid implemented annual 2021 HCPCS code updates effective January 1, 2021, discontinuing hundreds of procedure codes and adding new covered codes. Claims with 2021 codes will suspend until rates are loaded into the system.

Action Required

Action needed
Immediately: Stop billing discontinued codes for Colorado Medicaid patients for dates of service after December 31, 2020. Update billing system to use new 2021 HCPCS codes for covered services. Expect claims with 2021 codes to suspend with EOB 0000 until Colorado loads rates into their system. Purchase 2021 HCPCS and CPT coding manuals for code descriptions.

Affected Billing Codes

D3427
D5994
D6052
D7960
76970
78135
C9060
C9062
C9064
C9066
C9745
C9747
C9749
81545
87450
19324
19366
32405
49220
57112
58293
61870
62163
63180
63182
69605
92585
92586
92992
92993
94250
94400
94750
94770
95071
99201
C1052
C1062
C1825
C9068
C9770
C9771
C9772
C9773
C9774
C9775
D2928
D7961
D7962
D5995
U0005
80143
80151
80161
80167
80179
80181
80189
80193
80204
80210
81168
81191
81192
81193
81194
81278
81279
81338
81339
81351
81352
81353
81357
81360
81419
82077
82681
30468
32408
33741
33745
33746
33995
33997
55880
57465
71271
76145
J0693
J1823
J7212
J7352
J9144
J9223
J9281
J9316
J9317
Q0243
Q5122
S0013
C9070
C9071
C9072
C9073
90377
91300
91301
92229
92650
92651
92652
92653
94619
99417

Related policy hubs

Colorado Medicaid policiesCO policy changesOrthopedicsGeneral SurgeryCardiothoracic SurgeryNeurosurgeryPlastic SurgeryVascular SurgeryOral & Maxillofacial SurgeryOphthalmologyENT (Ear, Nose & Throat)UrologyOB-GYNCardiologyNeurologyGastroenterologyPulmonologyEndocrinologyNephrologyRheumatologyOncologyHematologyDermatologyAnesthesiologyRadiologyPathologyDentistryDiagnostic ImagingCode D3427Code D5994Code D6052Code D7960Code 76970Code 78135Code C9060Code C9062Code C9064Code C9066Code C9745Code C9747Code C9749Code 81545Code 87450Code 19324Code 19366Code 32405Code 49220Code 57112Code 58293Code 61870Code 62163Code 63180Code 63182Code 69605Code 92585Code 92586Code 92992Code 92993Code 94250Code 94400Code 94750Code 94770Code 95071Code 99201Code C1052Code C1062Code C1825Code C9068Code C9770Code C9771Code C9772Code C9773Code C9774Code C9775Code D2928Code D7961Code D7962Code D5995Code U0005Code 80143Code 80151Code 80161Code 80167Code 80179Code 80181Code 80189Code 80193Code 80204Code 80210Code 81168Code 81191Code 81192Code 81193Code 81194Code 81278Code 81279Code 81338Code 81339Code 81351Code 81352Code 81353Code 81357Code 81360Code 81419Code 82077Code 82681Code 30468Code 32408Code 33741Code 33745Code 33746Code 33995Code 33997Code 55880Code 57465Code 71271Code 76145Code J0693Code J1823Code J7212Code J7352Code J9144Code J9223Code J9281Code J9316Code J9317Code Q0243Code Q5122Code S0013Code C9070Code C9071Code C9072Code C9073Code 90377Code 91300Code 91301Code 92229Code 92650Code 92651Code 92652Code 92653Code 94619Code 99417