Back to dashboard
MedicaidBilling CodesMedium impact

MSA 20-59

Michigan Medicaid - MDHHS·MI·Provider Bulletin
Effective date
Jul 1, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

Michigan Medicaid updated their provider manual and added coverage for 18 new HCPCS codes effective July 1, 2020, with some requiring prior authorization. Additionally, 14 HCPCS codes were discontinued effective June 30, 2020, and one new code (A4605) becomes available for medical suppliers on October 1, 2020.

Action Required

Action needed
Immediately: Billing team must update billing system to include new HCPCS codes J0223, J0691, J0742, J0791, J0896, J1201, J1429, J1558, J3399, J7169, J7204, J7333, J9177, J9198, J9246, J9358, Q5120, Q5121 for Michigan Medicaid patients. Configure prior authorization requirements for codes J1429 and J3399. Remove discontinued codes 0124U, 0125U, 0126U, 0127U, 0128U, C9041, C9053, C9054, C9056, C9057, C9058, C9754, C9755, J9199 from billing system. Add A4605 for medical suppliers effective October 1, 2020.

Affected Billing Codes

J0223
J0691
J0742
J0791
J0896
J1201
J1429
J1558
J3399
J7169
J7204
J7333
J9177
J9198
J9246
J9358
Q5120
Q5121
A4605
Q5119
C9041
C9053
C9054
C9056
C9057
C9058
C9754
C9755
J9199