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Hospital Monthly Important Message Updated as of 03/12/2019 pdf
Connecticut Medicaid (HUSKY Health)·CT · Radiology, Oncology, Psychiatry +1 more·Provider Bulletin
Effective date
Jan 1, 2019
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid has implemented multiple billing code changes effective January 1, 2019, including new prior authorization requirements for procedure codes Q2040, 77046-77047, and others. Several procedure codes were replaced or deleted, including autism spectrum disorder codes and breast MRI codes.
Action Required
Immediately: Update billing system to require prior authorization for codes Q2040, 77046, 77047, C8903, C8905, C8906, and C8908. Replace deleted codes: use Q2042 instead of Q2040 for Tisagenlecleucel, 77046 instead of C8904 for unilateral breast MRI, 77047 instead of C8907 for bilateral breast MRI, and 90791-U5 instead of 0359T for autism diagnostic evaluation. Update encounter forms and notify providers of code changes. Verify system has updated HCPCS changes and APC weights for proper claim processing.