MedicaidBilling CodesMedium impact
April 2022 Quarterly Dialysis Clinic HIPAA Compliant Update pdf
Connecticut Medicaid (HUSKY Health)·CT · Nephrology·Provider Bulletin
Effective date
Apr 1, 2022
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid has added new billing code J0879 for difelikefalin injection (0.1 microgram) for ESRD patients on dialysis, effective April 1, 2022. This drug will be manually priced and requires the appropriate NDC code to be billed or claims will be denied.
Action Required
Immediately: Dialysis clinics must add HCPCS code J0879 (difelikefalin injection, 0.1 microgram for ESRD on dialysis) to billing systems. Billing team must ensure all J0879 claims include the appropriate National Drug Code (NDC) number as claims without NDC will be denied. Update fee schedule from www.ctdssmap.com provider portal.