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Connecticut Medicaid (HUSKY Health)Medicaid · Billing Codes · Reimbursement · CT · ENT (Ear, Nose & Throat)Medium impact

2025.74 - January 2026 HIPAA Compliant Update to the Independent Audiology and Speech and Language Pathology Fee Schedule

Act
by Jan 1, 2026
Effective date
Jan 1, 2026
Identified
Jun 20, 2026

Summary

Connecticut Medicaid is updating the Independent Audiology and Speech Language Pathology fee schedule effective January 1, 2026, replacing old codes with new HCPCS codes for hearing aid evaluations and post-fitting services. Four new codes (92628, 92629, 92636, 92637) will replace three deleted codes (V5010, 92592, 92593).

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What to do

by Jan 1, 2026 · 3 steps
01Billing team must update system to replace deleted codes V5010, 92592, and 92593 with new codes 92628, 92629, 92636, and 92637 for Connecticut Medicaid audiology and speech pathology services.
02Important: Do not bill codes 92636 and 92637 within the first year of hearing aid service as these are included in the dispensing fee.
03Update encounter forms and train providers on the new coding requirements.

Codes mentioned

92628926299263692637V50109259292593

Original notice

2025.74 - January 2026 HIPAA Compliant Update to the Independent Audiology and Speech and Language Pathology Fee Schedule
ctdssmap.com · Always check the source before changing claims.
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