MedicaidBilling CodesHigh impact
MSA 21-35
Michigan Medicaid - MDHHS·MI·Provider Bulletin
Effective date
Jul 1, 2021
We identified it
Jun 20, 2026
Summary
Michigan Medicaid has added new HCPCS codes for coverage effective July 1, 2021, including drug codes (J0224, J1951, J7168, J9348, J9353, Q5123) and diagnostic codes (99174, 99177, Q4163). Several codes also received retroactive coverage with earlier effective dates starting May 6, 2021, while codes C9074 and C9132 were discontinued June 30, 2021.
Action Required
Immediately: Update billing systems to include new HCPCS codes J0224, J1951, J7168, J9348, J9353, Q5123, 99174, 99177, and Q4163 for Michigan Medicaid claims with dates of service July 1, 2021 and after. Add retroactive codes M0244, M0246, M0247, M0248, Q0247, Q0244, and M0201 with their respective earlier effective dates. Remove discontinued codes C9074 and C9132 from system for dates after June 30, 2021. Billing team must verify provider type eligibility for each code before billing.