MedicaidBilling CodesMedium impact
PB 2021-106 First Quarter 2022 HIPAA Update - Changes to the Medical Surgical Supply Fee Schedule pdf
Connecticut Medicaid (HUSKY Health)·CT · Urology, Gastroenterology, General Surgery·Reimbursement
Effective date
Jan 1, 2022
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid is discontinuing HCPCS code A4397 for irrigation supply sleeves and replacing it with two new codes effective January 1, 2022: A4436 for reusable sleeves and A4437 for disposable sleeves, both billed monthly at $19.94 per month.
Action Required
Effective January 1, 2022: Medical equipment and supply providers must stop billing A4397 for irrigation supply sleeves. Update billing system to use A4436 ($19.94/month) for reusable irrigation sleeves and A4437 ($19.94/month) for disposable irrigation sleeves. Download updated fee schedule from www.ctdssmap.com. Ensure monthly supply quantities meet patient needs for entire month.