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2018 HIPAA Compliant Update-Rehabilitation Clinic Fee Schedule pdf

Connecticut Medicaid (HUSKY Health)·CT · PM&R (Physical Medicine & Rehab), Physical Therapy, Occupational Therapy·Reimbursement
Effective date
Jan 1, 2018
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid is updating their rehabilitation clinic fee schedule effective January 1, 2018, by removing 4 outdated CPT codes and replacing them with 2 new CPT codes plus 1 new HCPCS code to maintain HIPAA compliance with current coding standards.

Action Required

Action needed
By January 1, 2018: Billing team must stop using CPT codes 29582, 29583, 97762, and 97532 for Connecticut Medicaid rehabilitation clinic claims. Replace with new codes: use CPT 97763 for orthotic/prosthetic management, CPT 97127 for cognitive function therapy, and HCPCS G0515 for Medicare crossover claims only. Update billing system with new fee schedule rates and download updated fee schedule from www.ctdssmap.com. Claims submitted with old codes after December 31, 2017 will not be reimbursed.

Affected Billing Codes

29582
29583
97762
97532
97763
97127
G0515