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2019 Fee Schedule HIPAA Compliant Update For Autism Spectrum Disorder Services pdf
Connecticut Medicaid (HUSKY Health)·CT · Psychiatry, Pediatrics, Family Medicine·Reimbursement
Effective date
Jan 1, 2019
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid is updating billing codes for Autism Spectrum Disorder services effective January 1, 2019. Several temporary CPT codes (0359T, 0364T, 0365T, 0372T) are being replaced with permanent CPT codes, and the new evaluation code 90791 requires the U5 modifier for autism services.
Action Required
By January 1, 2019: Billing team must update system to replace end-dated CPT codes 0359T, 0364T, 0365T, and 0372T with new codes 90791-U5, 97153, and 97158 respectively for autism spectrum disorder services. Add U5 modifier requirement for evaluation code 90791. Update encounter forms and train providers on new coding requirements for Connecticut Medicaid claims. Claims using old codes will be denied after effective date.