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MedicaidBilling CodesMedium impact

MMP 22-23

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

Summary

Michigan Medicaid has updated HCPCS and CPT code coverage with multiple effective dates from July 2022 through August 2022. New codes are being added for coverage, some existing codes are gaining new coverage, and several codes are being discontinued.

Action Required

Action needed
Immediately: Update billing system to include new HCPCS codes effective July 1, 2022 (A9596, J0739, J1306, J1551, J2356, J2779, J2998, J3299, J9331, J9332) and July 13, 2022 codes (91304, 0041A, 0042A). Add prior authorization requirement for J0172 effective August 1, 2022. Stop billing discontinued codes C9090, C9091, C9092, C9093, G9678 (discontinued June 30, 2022) and J9202 (discontinued September 30, 2021). Verify provider type eligibility for each code before billing.

Affected Billing Codes

A9596
J0739
J1306
J1551
J2356
J2779
J2998
J3299
J9331
J9332
91304
J0172
91308
91311
J9202
C9090
C9091
C9092
C9093
G9678