MedicaidBilling CodesMedium impact
2018 CPT and HCPCS Procedure Code Changes
Wisconsin Medicaid (ForwardHealth)·WI · Occupational Therapy, Physical Therapy, Cardiothoracic Surgery +2 more·Coding
Effective date
Jan 1, 2018
We identified it
Jun 20, 2026
Summary
ForwardHealth Wisconsin updated CPT and HCPCS codes for 2018, including new codes for durable medical equipment, genetic testing, artificial heart procedures, and therapy services. Key change: CPT 97532 for occupational therapy was deleted and replaced with 97127, requiring prior authorization amendments for existing approvals.
Action Required
Immediately: Update billing system to use CPT 97127 instead of deleted code 97532 for occupational therapy cognitive skills development. Submit Prior Authorization Amendment Request form F-11042 for any existing PA approvals for 97532 that will be used after January 1, 2018. Add new codes E0953, E0954, L3761, L7700, L8625, L8694, 33927, 33928, 33929, 97763, 97760, and G0515 to billing system with appropriate prior auth flags where required.