MedicaidReimbursementHigh impact
Update to the Billing Guidance to the HCPCS Codes for Skin Substitutes pdf
Connecticut Medicaid (HUSKY Health)·CT · Wound Care, Plastic Surgery, Dermatology +2 more·Coding
Effective date
Nov 1, 2018
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid now requires providers to bill actual acquisition costs for skin substitute products using 82 specific HCPCS codes (Q4100-Q4182). All claims will suspend for manual pricing review, and original invoices must be retained in patient records for audit purposes.
Action Required
By November 1, 2018: Billing team must submit actual acquisition costs (not list prices) when billing Connecticut Medicaid for skin substitute HCPCS codes Q4100-Q4182. Claims will automatically suspend for manual pricing review. Medical records staff must retain original invoices and receipts in patient files for audit purposes. Post-payment adjustments will occur if invoices don't match billed amounts or are unavailable.