Back to dashboard
MedicaidBilling CodesMedium impact

January 2023 HIPAA Compliant Updates to the Physician Office - Outpatient & Surgery Fee Schedules pdf

Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Internal Medicine, OB-GYN +2 more·Provider Bulletin
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (HUSKY Health) is implementing quarterly HCPCS code updates for HIPAA compliance, adding new drug codes J3245 and J0575, and increasing reimbursement for intrauterine copper contraceptive J7300 from $937 to $1,025. Physician-administered drug rates will be updated to 100% of January 2023 Medicare ASP pricing.

Action Required

Action needed
By January 1, 2023: Billing team must download updated fee schedules from www.ctdssmap.com under Provider Fee Schedule Download. Update billing system with new HCPCS codes J3245 (tildrakizumab) and J0575 (buprenorphine/naloxone). Update reimbursement rate for J7300 (intrauterine copper contraceptive) to $1,025. Verify physician-administered drug rates reflect 100% of January 2023 Medicare ASP pricing.

Affected Billing Codes

J3245
J0575
J7300