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MedicaidBilling CodesMedium impact

2018 HIPAA Compliancy - Independent Physical Therapy and Occupational Therapy Fee Schedule pdf

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

Summary

Connecticut Medicaid added CPT code 97763 for orthotic/prosthetic management and training to the Independent Physical Therapy and Occupational Therapy fee schedule effective January 1, 2018. This ensures HIPAA compliance and allows billing for subsequent orthotic/prosthetic encounters in 15-minute increments.

Action Required

Action needed
Billing team must update fee schedule system to include CPT code 97763 for orthotic/prosthetic management and training services. Download the updated fee schedule from www.ctdssmap.com under Provider Fee Schedule Download section. Verify billing system recognizes this code for Connecticut Medicaid claims for dates of service January 1, 2018 and forward.

Affected Billing Codes

97763