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MedicaidBilling CodesMedium impact

MMP 24-15: Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) Code Updates

Michigan Medicaid - MDHHS·MI·Claims & Billing
Effective date
Apr 1, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

Michigan Medicaid updated CPT and HCPCS codes effective April 1, 2024, adding new covered codes for various provider types and discontinuing others effective March 31, 2024. Some codes receive retroactive coverage dating back to January 1, 2024.

Action Required

Action needed
Immediately: Billing team must update Michigan Medicaid billing system to include new HCPCS codes effective April 1, 2024, and remove discontinued codes that ended March 31, 2024. Verify prior authorization requirements for codes marked with asterisks (J1202, J1203, E2298, L1320, Q0224, B4103, L0655, L6205, L6628, L6629, L6632, L6637, L6641, L6642, L6686, L6687, L6688, L6689, L6690, L7400, L7401, L7402, L7403, L7404, L7405, L7700). Submit retroactive claims for codes 90589, 90623 (back to January 1, 2024) and M0224, Q0224 (back to March 22, 2024) if applicable.

Affected Billing Codes

J0177
J0209
J0577
J0578
J0589
J0650
J0651
J0652
J1010
J1202
J1203
J1323
J1434
J2277
J2782
J2801
J2919
J3055
J3424
J7165
J9073
J9074
J9075
J9248
J9249
J9376
Q4310
Q5133
Q5134
E2298
L1320
Q4188
Q4271
Q4281
Q4283
90589
90623
M0224
Q0224
97763
A7020
B4103
L0655
L6205
L6628
L6629
L6632
L6637
L6641
L6642
L6686
L6687
L6688
L6689
L6690
L7400
L7401
L7402
L7403
L7404
L7405
L7700
G0330
J7330
C9159
C9160
C9161
C9162
C9163
C9164
C9165
E2300
J0576
J1020
J1030
J1040
J1840
J1850
J2920
J2930
J9070
J9250
Q4244