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Coding and Reimbursement Updates for Outpatient Hospitals pdf

Connecticut Medicaid (HUSKY Health)·CT · Radiology, OB-GYN, Pulmonology +1 more·Coding
Effective date
Jul 1, 2017
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid is adding coverage for low dose CT lung cancer screening under code G0297 and updating reimbursement for contraceptive devices Skyla (J7301) and Kyleena (new code Q9984). Providers must use the correct codes for billing and prior authorization requests.

Action Required

Action needed
By July 1, 2017: Billing team must update system to use G0297 for low dose CT lung cancer screening and Q9984 for Kyleena contraceptive device (stop using C9399). Update J7301 reimbursement rate to $714.00 for non-340B hospitals. Train staff on new prior authorization requirements for G0297. Monitor for updated CMAP Addendum B with new coverage details.

Affected Billing Codes

G0297
J7301
Q9984
C9399
Coding and Reimbursement Updates for Outpatient Hospitals pdf | Connecticut Medicaid (HUSKY Health) | PolicyChanges.app