Summary
Michigan Medicaid has updated CPT and HCPCS code coverage effective October 1, 2022, with some codes covered retroactively. New codes are being added for various provider types, some existing codes now have coverage, and several codes have been discontinued.
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What to do
immediately · 4 steps
01Update billing systems to include new HCPCS codes A9607, A9800, J1302, J1932, J2777, J9274, J9298, Q2056 (requires prior auth), Q5125 for dates of service October 1, 2022 and after.
02Add retroactive coverage for codes 0091A, 0092A, 0093A, 0113A (effective June 17, 2022), codes 91312, 91313, 0124A, 0134A (effective August 31, 2022), and codes 91314, 91315, 0144A, 0154A (effective October 12, 2022).
03Remove discontinued codes 0012U, 0013U, 0014U, 0056U, C9094, C9095, C9096, C9097, C9098 effective September 30, 2022.
04Check CHAMPS Medicaid Code and Rate Reference tool for prior authorization requirements and billing indicators.
Codes mentioned
A9607A9800J1302J1932J2777J9274J9298Q2056Q5125E076691312913139131491315C9094C9095C9096C9097C9098
Original notice
MMP 22-37
michigan.gov · Always check the source before changing claims.
Related changes
See all Michigan Medicaid - MDHHS changes →MMP 23-63: Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) Code UpdatesMediumEffective Oct 1, 2023 · Claims & BillingMMP 26-31: Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) Code UpdatesHighEffective Jul 1, 2026 · Claims & BillingMSA 17-01MediumEffective Jan 1, 2017 · Provider BulletinMSA 17-30MediumEffective Jul 1, 2017 · Provider BulletinBrowse every Michigan Medicaid - MDHHS change in the policy list