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MMP 24-15: Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) Code Updates
Act
immediately
Effective date
Apr 1, 2024
Identified
Jun 20, 2026
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.
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What to do
immediately · 3 steps
01Billing 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.
02Verify 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).
03Submit retroactive claims for codes 90589, 90623 (back to January 1, 2024) and M0224, Q0224 (back to March 22, 2024) if applicable.
Codes mentioned
J0177J0209J0577J0578J0589J0650J0651J0652J1010J1202J1203J1323J1434J2277J2782J2801J2919J3055J3424J7165J9073J9074J9075J9248J9249J9376Q4310Q5133Q5134E2298L1320Q4188Q4271Q4281Q42839058990623M0224Q022497763A7020B4103L0655L6205L6628L6629L6632L6637L6641L6642L6686L6687L6688L6689L6690L7400L7401L7402L7403L7404L7405L7700G0330J7330C9159C9160C9161C9162C9163C9164C9165E2300J0576J1020J1030J1040J1840J1850J2920J2930J9070J9250Q4244
Original notice
MMP 24-15: Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) Code Updates
michigan.gov · Always check the source before changing claims.
Related changes
See all Michigan Medicaid - MDHHS changes →MSA 20-22HighEffective Mar 1, 2020 · Provider BulletinMSA 20-43MediumNo effective date · Provider BulletinMMP 23-63: Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) Code UpdatesMediumEffective Oct 1, 2023 · Claims & BillingMMP 23-67: Skilled Maintenance TherapyHighEffective Jan 1, 2024 · Provider BulletinBrowse every Michigan Medicaid - MDHHS change in the policy list
Related policy hubs
Michigan Medicaid - MDHHS policiesMI policy changesCode J0177Code J0209Code J0577Code J0578Code J0589Code J0650Code J0651Code J0652Code J1010Code J1202Code J1203Code J1323Code J1434Code J2277Code J2782Code J2801Code J2919Code J3055Code J3424Code J7165Code J9073Code J9074Code J9075Code J9248Code J9249Code J9376Code Q4310Code Q5133Code Q5134Code E2298Code L1320Code Q4188Code Q4271Code Q4281Code Q4283Code 90589Code 90623Code M0224Code Q0224Code 97763Code A7020Code B4103Code L0655Code L6205Code L6628Code L6629Code L6632Code L6637Code L6641Code L6642Code L6686Code L6687Code L6688Code L6689Code L6690Code L7400Code L7401Code L7402Code L7403Code L7404Code L7405Code L7700Code G0330Code J7330Code C9159Code C9160Code C9161Code C9162Code C9163Code C9164Code C9165Code E2300Code J0576Code J1020Code J1030Code J1040Code J1840Code J1850Code J2920Code J2930Code J9070Code J9250Code Q4244