When does this change take effect?

This change is effective Jan 1, 2022.

What do I need to do?

Already effective January 1, 2022: Billing team: bill the codes listed in the bulletin for dates of service on and after January 1, 2022 only for the provider groups the bulletin lists. Any new procedure code not listed will not be covered at this time, except for reporting codes. Get prior authorization for codes marked with an asterisk, which the bulletin says require PA, and for CPT 61850, 61860, 61863, 61864, 61867, 61868, 61880, 61885, 61886 and 61888 for beneficiaries under 18 years of age, a requirement effective September 1, 2021. PA is no longer required for E0241, E0243, E0244 and E0245 from January 1, 2022. For telemedicine, report all telemedicine services with POS 02-Telehealth and modifier GT, add modifier FQ for audio-only services, and include the comment patient's home in the remarks section where able. For outpatient hospital therapy claims, report modifier CO or CQ when a physical therapy assistant or occupational therapy assistant furnished the service in whole or in part, alongside the required GP and GO modifiers, or the claim line will be paid at 85% of the MDHHS OPPS rate. Check current applicability before acting on these dates, since the bulletin is from February 2022.

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Michigan Medicaid - MDHHSMedicaid · Billing Codes · Provider Bulletin · MI · Anesthesiology, Dentistry, Oral & Maxillofacial Surgery +9 moreMedium impact

HASA 22-03

Q: Who is affected by this change?

This affects Michigan Medicaid - MDHHS Anesthesiology, Dentistry, Oral & Maxillofacial Surgery, Optometry, OB-GYN, Pathology +6 more providers in MI on Medicaid plans.

Q: Which billing codes are affected?

The following codes are affected: 01937, 01938, 01939, 01940, 01941, 01942, 33267, 33268, 33269, 33370, 33509, 33894, 33895, 33897, 42975, 43497, 61736, 61737, 63052, 63053, 64582, 64583, 64584, 64628, 64629, 66989, 66991, 68841, 69716, 69719, 69726, 69727, 77089, 77090, 77091, 77092, 80503, 80504, 80505, 80506, 91113, 93319, 93593, 93594, 93595, 93596, 93597, 93598, 94625, 94626, 99424, 99425, 99426, 99427, 99437, J1952, J2506, J9021, J9061, J9272, Q2055, 80220, 81523, 81560, 82653, 83521, 83529, 86015, 86036, 86037, 86051, 86052, 86053, 86231, 86258, 86362, 86363, 86364, 86381, 86596, 87154, A4436, A4437, 93792, 93793, 94664, 99401, 99402, 99403, 99404, S9453, M0220, M0221, M0240, M0241, M0243, M0244, M0245, M0246, M0247, Q0220, Q0240, Q0243, Q0244, Q0245, Q0247, 99453, 99454, 94464, D8010, D8020, D8030, D8040, J0699, J0741, J1305, J1426, J1445, J1448, J2406, J9247, J9318, J9319, Q2054, J0248, J7294, J7295, A4453, K1022, S9432, 91306, 91305, 91307, FQ, FR, FS, GT, CO, CQ, GP, GO, E0241, E0243, E0244, E0245, 61850, 61860, 61863, 61864, 61867, 61868, 61880, 61885, 61886, 61888, 01935, 01936, 21310, 33470, 33722, 43850, 43855, 59135, 63194, 63195, 63196, 63198, 63199, 69715, 69718, 72275, 76101, 76102, 80500, 80502, 92559, 92560, 92561, 92564, 93530, 93531, 93532, 93533, 93561, 93562, 95943, A4397, C9081, C9082, C9083, C9752, C9753, D4320, D4321, D8050, D8060, D8690, G0424, G2064, G2065, G8422, G8925, G8926, G8938, G9267, G9268, G9269, G9270, G9348, G9349, G9350, G9399, G9400, G9401, G9448, G9449, G9450, G9561, G9562, G9563, G9577, G9578, G9579, G9583, G9584, G9585, G9634, G9635, G9636, G9639, G9640, G9641, G9647, G9666, G9783, J2505, M1022, M1025, M1026, M1031, C9065, C9075, C9076, C9077, C9078, C9079, C9080, J0693, J7303, J9315, Q4228, Q4236.

Effective date

Jan 1, 2022

Identified

Jun 20, 2026

Summary

The Michigan Department of Health and Human Services (MDHHS) bulletin HASA 22-03, issued February 8, 2022, announces CPT and HCPCS code updates for Medicaid, Healthy Michigan Plan, Children's Special Health Care Services, Maternity Outpatient Medical Services and MI Health Link. It adds HCPCS codes for dates of service on and after January 1, 2022, activates coverage of existing codes for listed provider groups, and includes retroactive coverage of existing codes for dates of service from May 26, 2021 through January 3, 2022. It also sets telemedicine coding rules (POS 02 with modifiers GT and FQ), outpatient hospital CO and CQ modifier rules, modifier coverage, prior authorization changes, and discontinued codes effective September 30, 2021 and December 31, 2021.

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What to do

Action · 7 steps

01Already effective January 1, 2022: Billing team: bill the codes listed in the bulletin for dates of service on and after January 1, 2022 only for the provider groups the bulletin lists.

02Any new procedure code not listed will not be covered at this time, except for reporting codes.

03Get prior authorization for codes marked with an asterisk, which the bulletin says require PA, and for CPT 61850, 61860, 61863, 61864, 61867, 61868, 61880, 61885, 61886 and 61888 for beneficiaries under 18 years of age, a requirement effective September 1, 2021.

04PA is no longer required for E0241, E0243, E0244 and E0245 from January 1, 2022.

05For telemedicine, report all telemedicine services with POS 02-Telehealth and modifier GT, add modifier FQ for audio-only services, and include the comment patient's home in the remarks section where able.

06For outpatient hospital therapy claims, report modifier CO or CQ when a physical therapy assistant or occupational therapy assistant furnished the service in whole or in part, alongside the required GP and GO modifiers, or the claim line will be paid at 85% of the MDHHS OPPS rate.

07Check current applicability before acting on these dates, since the bulletin is from February 2022.

Codes mentioned

01937019380193901940019410194233267332683326933370335093389433895338974297543497617366173763052630536458264583645846462864629669896699168841697166971969726697277708977090770917709280503805048050580506911139331993593935949359593596935979359894625946269942499425994269942799437J1952J2506J9021J9061J9272Q20558022081523815608265383521835298601586036860378605186052860538623186258863628636386364863818659687154A4436A443793792937939466499401994029940399404S9453M0220M0221M0240M0241M0243M0244M0245M0246M0247Q0220Q0240Q0243Q0244Q0245Q0247994539945494464D8010D8020D8030D8040J0699J0741J1305J1426J1445J1448J2406J9247J9318J9319Q2054J0248J7294J7295A4453K1022S9432913069130591307FQFRFSGTCOCQGPGOE0241E0243E0244E02456185061860618636186461867618686188061885618866188801935019362131033470337224385043855591356319463195631966319863199697156971872275761017610280500805029255992560925619256493530935319353293533935619356295943A4397C9081C9082C9083C9752C9753D4320D4321D8050D8060D8690G0424G2064G2065G8422G8925G8926G8938G9267G9268G9269G9270G9348G9349G9350G9399G9400G9401G9448G9449G9450G9561G9562G9563G9577G9578G9579G9583G9584G9585G9634G9635G9636G9639G9640G9641G9647G9666G9783J2505M1022M1025M1026M1031C9065C9075C9076C9077C9078C9079C9080J0693J7303J9315Q4228Q4236

Original notice

HASA 22-03

michigan.gov · Always check the source before changing claims.

View original ↗

MMP 23-51: Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) Code UpdatesHighEffective Jul 1, 2023 · Claims & Billing MMP 25-14: Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) Code UpdatesHighEffective Apr 1, 2025 · Claims & Billing MSA 21-35MediumNo effective date · Provider Bulletin MMP 22-35MediumEffective Dec 1, 2022 · Provider Bulletin Browse every Michigan Medicaid - MDHHS change in the policy list

Related policy hubs

Michigan Medicaid - MDHHS policies MI policy changes Anesthesiology Dentistry Oral & Maxillofacial Surgery Optometry OB-GYN Pathology General Practice Pediatrics Psychiatry Physical Therapy Occupational Therapy Podiatry Code 01937 Code 01938 Code 01939 Code 01940 Code 01941 Code 01942 Code 33267 Code 33268 Code 33269 Code 33370 Code 33509 Code 33894 Code 33895 Code 33897 Code 42975 Code 43497 Code 61736 Code 61737 Code 63052 Code 63053 Code 64582 Code 64583 Code 64584 Code 64628 Code 64629 Code 66989 Code 66991 Code 68841 Code 69716 Code 69719 Code 69726 Code 69727 Code 77089 Code 77090 Code 77091 Code 77092 Code 80503 Code 80504 Code 80505 Code 80506 Code 91113 Code 93319 Code 93593 Code 93594 Code 93595 Code 93596 Code 93597 Code 93598 Code 94625 Code 94626 Code 99424 Code 99425 Code 99426 Code 99427 Code 99437 Code J1952 Code J2506 Code J9021 Code J9061 Code J9272 Code Q2055 Code 80220 Code 81523 Code 81560 Code 82653 Code 83521 Code 83529 Code 86015 Code 86036 Code 86037 Code 86051 Code 86052 Code 86053 Code 86231 Code 86258 Code 86362 Code 86363 Code 86364 Code 86381 Code 86596 Code 87154 Code A4436 Code A4437 Code 93792 Code 93793 Code 94664 Code 99401 Code 99402 Code 99403 Code 99404 Code S9453 Code M0220 Code M0221 Code M0240 Code M0241 Code M0243 Code M0244 Code M0245 Code M0246 Code M0247 Code Q0220 Code Q0240 Code Q0243 Code Q0244 Code Q0245 Code Q0247 Code 99453 Code 99454 Code 94464 Code D8010 Code D8020 Code D8030 Code D8040 Code J0699 Code J0741 Code J1305 Code J1426 Code J1445 Code J1448 Code J2406 Code J9247 Code J9318 Code J9319 Code Q2054 Code J0248 Code J7294 Code J7295 Code A4453 Code K1022 Code S9432 Code 91306 Code 91305 Code 91307Code FQCode FRCode FSCode GTCode COCode CQCode GPCode GOCode E0241 Code E0243 Code E0244 Code E0245 Code 61850 Code 61860 Code 61863 Code 61864 Code 61867 Code 61868 Code 61880 Code 61885 Code 61886 Code 61888 Code 01935 Code 01936 Code 21310 Code 33470 Code 33722 Code 43850 Code 43855 Code 59135 Code 63194 Code 63195 Code 63196 Code 63198 Code 63199 Code 69715 Code 69718 Code 72275 Code 76101 Code 76102 Code 80500 Code 80502 Code 92559 Code 92560 Code 92561 Code 92564 Code 93530 Code 93531 Code 93532 Code 93533 Code 93561 Code 93562 Code 95943 Code A4397 Code C9081 Code C9082 Code C9083 Code C9752 Code C9753 Code D4320 Code D4321 Code D8050 Code D8060 Code D8690 Code G0424 Code G2064 Code G2065 Code G8422 Code G8925 Code G8926 Code G8938 Code G9267 Code G9268 Code G9269 Code G9270 Code G9348 Code G9349 Code G9350 Code G9399 Code G9400 Code G9401 Code G9448 Code G9449 Code G9450 Code G9561 Code G9562 Code G9563 Code G9577 Code G9578 Code G9579 Code G9583 Code G9584 Code G9585 Code G9634 Code G9635 Code G9636 Code G9639 Code G9640 Code G9641 Code G9647 Code G9666 Code G9783 Code J2505 Code M1022 Code M1025 Code M1026 Code M1031 Code C9065 Code C9075 Code C9076 Code C9077 Code C9078 Code C9079 Code C9080 Code J0693 Code J7303 Code J9315 Code Q4228 Code Q4236

HASA 22-03

Summary

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What to do

Codes mentioned

Original notice

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