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MedicaidBilling CodesMedium impact

Hospital Monthly Important Message - 03.09.2021 pdf

Connecticut Medicaid (HUSKY Health)·CT · Pulmonology·Provider Bulletin
Effective date
Jan 1, 2021
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (CMAP) updated their fee schedules with 2021 HCPCS changes, corrected system issues causing inpatient claim suspensions, and provided new guidance on COVID-19 vaccine billing and telemedicine respiratory care services. Multiple technical fixes will appear on March 16, 2021 remittance advices.

Action Required

Action needed
Immediately: Update billing systems with new lab test rates for codes 81316, 81542, 81552, 81554, 85400, 89329, and Q0113 effective January 1, 2021. For COVID-19 vaccine administration (0001A, 0002A, 0011A, 0012A), ensure both administration code with revenue center 770 and vaccine product code (91300/91301) with NDC are billed together or claims will deny. Review March 16, 2021 remittance advice for reprocessed claims with ICN beginning 61 or 52.

Affected Billing Codes

94664
94667
81316
81542
81552
81554
85400
89329
Q0113
91300
91301
U0003
U0004
U0005
90632
90634
90636
90658
90690
90691
90702
90717
M35.81
Z11.52
Z86.16