MedicaidBilling CodesHigh impact
Changes to Coding Guidelines
Kentucky Medicaid·KY·Coding
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Summary
Kentucky Medicaid has deleted multiple E/M codes effective January 1, 2023, including hospital observation services, consultations, nursing facility services, domiciliary care services, home services, and prolonged services codes. Providers must stop using these deleted codes and follow updated coding guidelines for Kentucky Medicaid billing.
Action Required
Immediately: Billing team must stop using the deleted E/M codes (99217-99220, 99241, 99251, 99318, 99324-99328, 99334-99337, 99339, 99340, 99343, 99354-99357) for Kentucky Medicaid claims. Update billing software to block these codes and remove from encounter forms. Consult certified professional coder for alternative coding options. Contact KY_Provider_Inquiry@gainwelltechnologies.com for implementation questions.