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Connecticut Medicaid (HUSKY Health)Medicaid · Billing Codes · Reimbursement · CT · ENT (Ear, Nose & Throat), PM&R (Physical Medicine & Rehab)Medium impact

2025.73 - January 2026 Quarterly HIPAA Compliant Update to the Rehabilitation Clinic Fee Schedule

Act
by Jan 1, 2026
Effective date
Jan 1, 2026
Identified
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.

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What to do

by Jan 1, 2026 · 4 steps
01Billing team must update system to use new codes 92628 and 92629 for hearing aid evaluations instead of V5010.
02Add billing edits to prevent codes 92636 and 92637 from being billed within first year of hearing aid service.
03Download updated fee schedule from www.ctdssmap.com.
04Update encounter forms and train providers on new coding requirements.

Codes mentioned

92628926299263692637V5010

Original notice

2025.73 - January 2026 Quarterly HIPAA Compliant Update to the Rehabilitation Clinic Fee Schedule
ctdssmap.com · Always check the source before changing claims.
View original ↗

Related changes

See all Connecticut Medicaid (HUSKY Health) changes →
2025.74 - January 2026 HIPAA Compliant Update to the Independent Audiology and Speech and Language Pathology Fee ScheduleMediumEffective Jan 1, 2026 · ReimbursementBrowse every Connecticut Medicaid (HUSKY Health) change in the policy list

Related policy hubs

Connecticut Medicaid (HUSKY Health) policiesCT policy changesENT (Ear, Nose & Throat)PM&R (Physical Medicine & Rehab)Code 92628Code 92629Code 92636Code 92637Code V5010

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