MedicaidBilling CodesHigh impact
January 2023 HIPAA Update for DME & and MSS Fee Schedule pdf
Connecticut Medicaid (HUSKY Health)·CT · Endocrinology, Family Medicine, Internal Medicine·Reimbursement
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid updated DME and CGM billing codes for HIPAA compliance effective January 1, 2023. Key changes include replacing codes K0553/K0554 with A4239/E2103 for non-adjunctive CGMs, and discontinuing codes A9276, A9277, A9278 as non-payable.
Action Required
Immediately: Billing team must update system to use new codes A4239/E2103 instead of discontinued codes K0553/K0554 for non-adjunctive CGMs. Stop billing codes A9276, A9277, A9278 as they are no longer payable. Ensure prior authorization is obtained for all CGM systems. Do not bill codes A4233-A4259, E0607, E2101 separately when A4239 is billed within 30 days for same patient. Update fee schedule from www.ctdssmap.com.