MedicaidBilling CodesMedium impact
2024.81 - Provider Bulletin - Adding Select Procedure Codes for Electronic Consultations
Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Internal Medicine, Pediatrics +20 more·Provider Bulletin
Effective date
Jan 1, 2025
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid is adding two new CPT codes (99451 and 99452) for electronic consultations effective January 1, 2025, allowing reimbursement for e-consults between primary care providers and specialists when face-to-face visits aren't necessary.
Action Required
By January 1, 2025: Billing team must add CPT codes 99451 ($37.46) and 99452 ($34.85) to billing system for Connecticut Medicaid e-consults. Update encounter forms for eligible specialties. Ensure secure HIPAA-compliant electronic systems are in place (no phone consults allowed). Train providers on 14-day restriction rule - cannot bill e-consult codes if face-to-face visit occurs within 14 days before or after for same complaint with same specialist. Verify specialist enrollment in Connecticut Medicaid network before billing.