MedicaidBilling CodesMedium impact
MSA 21-18
Michigan Medicaid - MDHHS·MI·Provider Bulletin
Effective date
Apr 1, 2021
We identified it
Jun 20, 2026
Summary
Michigan Medicaid updated billing codes and prior authorization requirements effective April 1, 2021, adding new HCPCS codes for various provider types and discontinuing several existing codes. The provider manual was also updated with technical changes to prior authorization sections.
Action Required
Billing team must update system to include new HCPCS codes J1427, J1554, J7402, J9037, J9349 for physicians and practitioners (J1427 requires prior authorization). Add code 0172U for clinical laboratories with prior authorization requirement. Remove discontinued codes 0098U, 0099U, 0100U, 0127U, C9068-C9073, C9122, J7333, J7401, K1010-K1012 from billing system. Update prior authorization rules to remove requirements for codes 81510, 81511, 81512 effective March 31, 2021.