MedicaidBilling CodesHigh impact
2017 CPT and HCPCS Procedure Code Changes
Wisconsin Medicaid (ForwardHealth)·WI · OB-GYN, Pathology, Orthopedics·Coding
Effective date
Jan 1, 2017
We identified it
Jun 20, 2026
Summary
ForwardHealth (Wisconsin Medicaid) implemented 2017 CPT and HCPCS code changes effective January 1, 2017, including discontinued DME codes (K0901, K0902), new replacement codes (L1851, L1852), revised wheelchair accessory definitions for replacement-only billing, and new coverage for fetal aneuploidy testing with specific clinical criteria.
Action Required
Immediately: Update billing system to replace discontinued codes K0901/K0902 with new codes L1851/L1852 for knee orthoses. Change all wheelchair accessory codes (E0967, E0995, E2206, E2220, E2221, E2222, E2224, K0015, K0019, K0037, K0042-K0052, K0069-K0072, K0077, K0098) to replacement-only billing - cannot be billed with wheelchair purchases. Stop using discontinued drug testing codes G0477, G0478, G0479. For Wisconsin Medicaid patients, verify fetal aneuploidy testing meets ACOG criteria before billing. Claims with old codes or improper usage will be denied.