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MedicaidBilling CodesMedium impact

MMP 22-37

Michigan Medicaid - MDHHS·MI·Provider Bulletin
Effective date
Oct 1, 2022
We identified it
Jun 20, 2026
Days to comply

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.

Action Required

Action needed
Immediately: Update 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. Add 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). Remove discontinued codes 0012U, 0013U, 0014U, 0056U, C9094, C9095, C9096, C9097, C9098 effective September 30, 2022. Check CHAMPS Medicaid Code and Rate Reference tool for prior authorization requirements and billing indicators.

Affected Billing Codes

A9607
A9800
J1302
J1932
J2777
J9274
J9298
Q2056
Q5125
E0766
91312
91313
91314
91315
C9094
C9095
C9096
C9097
C9098