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MedicaidBilling CodesMedium impact

2018 CMAP’s Addendum B – Outpatient Hospitals pdf

Connecticut Medicaid (HUSKY Health)·CT · Oncology, Neurology·Provider Bulletin
Effective date
Jan 1, 2018
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid updated their Addendum B with 2018 HCPCS coding changes, added prior authorization requirement for CAR-T cell therapy (Q2040), and replaced temporary codes for Eteplirsen and Nusinersen with permanent J-codes effective January 1, 2018.

Action Required

Action needed
Effective January 1, 2018: Billing team must obtain prior authorization for Q2040 (Tisagenlecleucel CAR-T therapy) by calling CHNCT at 1-800-440-5071. Replace expired codes C9484 with J1428 for Eteplirsen billing and C9489 with J2326 for Nusinersen billing. Download updated CMAP Addendum B from ctdssmap.com to verify all HCPCS code changes. Claims with old codes will be denied after December 31, 2017.

Affected Billing Codes

Q2040
C9484
J1428
C9489
J2326