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MedicaidBilling CodesMedium impact

New Place of Service Code for Pharmacy Services

Wisconsin Medicaid (ForwardHealth)·WI · Pharmacy·Pharmacy
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

Wisconsin Medicaid now accepts place of service code "01" (Pharmacy) on CMS 1500 and 837 electronic claim forms for pharmacy services. This allows providers to bill for drugs and medically related items dispensed directly to patients at pharmacy locations.

Action Required

Action needed
Immediately: Billing team must update billing software to accept place of service code "01" for pharmacy-related claims submitted to Wisconsin Medicaid. Update encounter forms and billing templates to include this option when billing for drugs or medical items dispensed at pharmacy locations.

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