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MedicaidBilling CodesMedium impact

Allowable units for code 99244, effective October 1, 2023

Oregon Health Plan·OR·Provider
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

Oregon Medicaid is reducing the maximum allowable units for CPT code 99244 from two units to one unit per episode of care, effective January 1, 2024. Providers can continue billing two units through December 31, 2023, and may adjust claims from October 1-December 31 if needed.

Action Required

Action needed
By December 31, 2023: Billing team must update system to limit CPT 99244 to one unit per episode of care effective January 1, 2024. If you billed two units for 99244 between October 1-December 31, 2023 and need payment for the second unit, adjust those claims in the Oregon Medicaid Provider Portal at https://www.or-medicaid.gov before year-end.

Affected Billing Codes

99244