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MedicaidBilling CodesHigh impact

MSA 20-01

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

Summary

Michigan Medicaid updated CPT and HCPCS codes effective January 1, 2020, adding new covered codes for various provider types including physicians, dental services, laboratory services, and therapy providers. Some codes require prior authorization (marked with *) and specific documentation requirements for dental codes.

Action Required

Action needed
Immediately: Update billing system to include new 2020 HCPCS codes for Michigan Medicaid patients. Configure prior authorization requirements for codes marked with * (asterisk). Update therapy billing to include mandatory therapy modifiers (GN, GP, GO) for 'always therapy' services. Add tooth number/surface requirements for specified dental codes. Stop billing discontinued codes 58565 and A4264 after December 31, 2019. Verify provider type eligibility for each code category in your billing system.

Affected Billing Codes

15769
15771
15772
15773
15774
20700
20701
20702
20703
20704
20705
21601
21602
21603
33016
33017
33018
33019
33858
33859
33871
34717
34718
35702
35703
46948
49013
49014
62328
62329
64451
64454
64624
64625
66987
66988
74221
74248
78429
78430
78431
78432
78433
78434
78830
78831
78832
78835
80145
80187
80230
80235
80280
80285
87563
92201
92202
92549
93356
93985
93986
95700
95706
95707
95709
95710
95712
95713
95715
95716
95717
95718
95719
95720
95721
95722
95723
95724
95725
95726
96156
96158
96159
96167
96168
97129
97130
99458
A9590
G2058
G2064
G2065
G2066
G2086
G2087
G2088
J0179
J9199
J9309
D1551
D1552
D1553
D1556
D1557
D1558
D2753
D6082
D6083
D6084
D6086
D6087
D6088
D6097
D6098
D6099
D6120
D6121
D6122
D6123
D6243
D6753
D8703
D8704
81277
81307
81308
81309
81522
B4187
E2398
96164
96165
A5514
L8032
81252
81253
81254
81538
L8625
Q0092
66982
D1354
D2799
D6081
D6253
D2940
D7260
D7261
D7510
D8692
58565
A4264

Related policy hubs

Michigan Medicaid - MDHHS policiesMI policy changesCode 15769Code 15771Code 15772Code 15773Code 15774Code 20700Code 20701Code 20702Code 20703Code 20704Code 20705Code 21601Code 21602Code 21603Code 33016Code 33017Code 33018Code 33019Code 33858Code 33859Code 33871Code 34717Code 34718Code 35702Code 35703Code 46948Code 49013Code 49014Code 62328Code 62329Code 64451Code 64454Code 64624Code 64625Code 66987Code 66988Code 74221Code 74248Code 78429Code 78430Code 78431Code 78432Code 78433Code 78434Code 78830Code 78831Code 78832Code 78835Code 80145Code 80187Code 80230Code 80235Code 80280Code 80285Code 87563Code 92201Code 92202Code 92549Code 93356Code 93985Code 93986Code 95700Code 95706Code 95707Code 95709Code 95710Code 95712Code 95713Code 95715Code 95716Code 95717Code 95718Code 95719Code 95720Code 95721Code 95722Code 95723Code 95724Code 95725Code 95726Code 96156Code 96158Code 96159Code 96167Code 96168Code 97129Code 97130Code 99458Code A9590Code G2058Code G2064Code G2065Code G2066Code G2086Code G2087Code G2088Code J0179Code J9199Code J9309Code D1551Code D1552Code D1553Code D1556Code D1557Code D1558Code D2753Code D6082Code D6083Code D6084Code D6086Code D6087Code D6088Code D6097Code D6098Code D6099Code D6120Code D6121Code D6122Code D6123Code D6243Code D6753Code D8703Code D8704Code 81277Code 81307Code 81308Code 81309Code 81522Code B4187Code E2398Code 96164Code 96165Code A5514Code L8032Code 81252Code 81253Code 81254Code 81538Code L8625Code Q0092Code 66982Code D1354Code D2799Code D6081Code D6253Code D2940Code D7260Code D7261Code D7510Code D8692Code 58565Code A4264