MedicaidPrior AuthMedium impact
Update to Revenue Center Codes (RCC) Requiring a Valid CPT or HCPCS on Outpatient Claims and Change in Prior Authorization Requirements for certain RCCs
Connecticut Medicaid (HUSKY Health)·CT · PM&R (Physical Medicine & Rehab), Pulmonology·Prior Authorization
Effective date
Jan 1, 2016
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid now requires valid CPT or HCPCS codes when billing certain Revenue Center Codes (273, 274, 277, 470, 471, 472, 479) on outpatient claims. Additionally, prior authorization is no longer required for audiology RCCs 470-472 and 479.
Action Required
By January 1, 2016: Billing team must update system to require valid CPT or HCPCS codes when billing Revenue Center Codes 273 (Take Home Supplies), 274 (Prosthetic/Orthotic Devices), 277 (Oxygen-Take Home), 470 (General Classification Audiology), 471 (Diagnostic Audiology), 472 (Treatment Audiology), and 479 (Other Audiology). Remove prior authorization requirements for RCCs 470, 471, 472, and 479. Claims without valid CPT/HCPCS will be denied with EOB 390.