Back to dashboard
MedicaidBilling CodesMedium impact

HIPAA Compliant Updates for Fourth Quarter 2020 pdf

Connecticut Medicaid (HUSKY Health)·CT · Oncology, Ophthalmology, Wound Care·Provider Bulletin
Effective date
Oct 1, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid is adding 11 new HCPCS procedure codes to their physician office and outpatient fee schedules effective October 1, 2020, including injectable drugs, biologics, and tissue products. These additions ensure HIPAA compliance and affect all HUSKY Health programs.

Action Required

Action needed
By October 1, 2020: Billing team must update fee schedules with the 11 new HCPCS codes (J1437, J1738, J3032, J3241, J7351, J9227, J9304, Q4249, Q4250, Q4254, Q4255) for Connecticut Medicaid billing. Download updated fee schedules from www.ctdssmap.com under Provider Fee Schedule Download section. Review PB 18-10 for physician-administered drug billing guidance.

Affected Billing Codes

J1437
J1738
J3032
J3241
J7351
J9227
J9304
Q4249
Q4250
Q4254
Q4255