MedicaidBilling CodesMedium impact
Hospital Billing and Reimbursement for Immediate Postpartum Long-Acting Reversible Contraceptive Products
Connecticut Medicaid (HUSKY Health)·CT · OB-GYN·Provider Bulletin
Effective date
Apr 15, 2016
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid now provides separate reimbursement to hospitals for long-acting reversible contraceptives (LARCs) when placed immediately postpartum in inpatient settings. Hospitals must bill LARC devices on outpatient claims using specific HCPCS codes and Revenue Center Code 253, with reimbursement of $810.57 until July 2016, then transitioning to HCPCS-specific rates.
Action Required
For Connecticut Medicaid patients: Hospitals must update billing procedures to submit LARC devices on separate outpatient claims using Revenue Center Code 253 with matching HCPCS and NDC codes. Billing team must ensure labor/delivery remains on inpatient claim while LARC billing moves to outpatient claim. Providers must document LARC insertion in both hospital and practitioner medical records and use Place of Service code 21 for professional services.