MedicaidBilling CodesMedium impact
Modifier 25 No Longer Required To Bypass NCCI Edit
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health) has eliminated the requirement to use Modifier 25 to bypass National Correct Coding Initiative (NCCI) edits. This means billing staff no longer need to append Modifier 25 to evaluation and management codes when billing with procedures on the same date of service for Connecticut Medicaid patients.
Action Required
Immediately: Billing team should update Connecticut Medicaid billing procedures to stop automatically appending Modifier 25 to bypass NCCI edits. Review current claims processing workflows and update billing software settings if automated Modifier 25 application is configured for HUSKY Health claims. Train staff on the new policy to avoid unnecessary modifier usage.