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HPE interchange important notice on CMAP - Updates on procedures codes to be reprocessed

Connecticut Medicaid (HUSKY Health)·CT · Radiology·Provider Bulletin
Effective date
Jan 1, 2017
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (CMAP) has updated procedure codes and billing requirements effective January 1, 2017, with several ongoing system changes. Key updates include extending radiology authorization validity from 30 to 60 days, new billing requirements for digital breast tomosynthesis services, and system fixes for duplicate NDC billing issues.

Action Required

Action needed
Immediately: Update billing system to reflect radiology authorizations are now valid for 60 days (increased from 30 days) for HUSKY Health members. For digital breast tomosynthesis services from July 1, 2016 forward, bill under Revenue Center Code 409 with CPT codes 77061-77063. Continue billing NDC codes as usual while awaiting system fix for duplicate line denials. Monitor for reprocessed claims from January 1, 2017 code updates. Update website bookmarks from www.huskyhealth.com to www.ct.gov/husky.

Affected Billing Codes

C9483
77061
77062
77063
O11.4
O11.5
O13.4
O14.04
O14.14
O14.24
O14.94
O16.4
O22.33
O34.32