MedicaidBilling CodesMedium impact
2025.73 - January 2026 Quarterly HIPAA Compliant Update to the Rehabilitation Clinic Fee Schedule
Connecticut Medicaid (HUSKY Health)·CT · ENT (Ear, Nose & Throat), PM&R (Physical Medicine & Rehab)·Reimbursement
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health) is adding new hearing aid evaluation and follow-up billing codes (92628, 92629, 92636, 92637) effective January 1, 2026, replacing older V5010 codes. Post-fitting follow-up codes cannot be billed within the first year of hearing aid service.
Action Required
By January 1, 2026: Billing team must update system to use new codes 92628 and 92629 for hearing aid evaluations instead of V5010. Add billing edits to prevent codes 92636 and 92637 from being billed within first year of hearing aid service. Download updated fee schedule from www.ctdssmap.com. Update encounter forms and train providers on new coding requirements.