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MedicaidBilling CodesHigh impact

MSA 17-30

Michigan Medicaid - MDHHS·MI·Provider Bulletin
Effective date
Jul 1, 2017
We identified it
Jun 20, 2026
Days to comply

Summary

Michigan Medicaid updated their Provider Manual with new HCPCS code coverage effective July 1, 2017, including new codes Q9984-Q9989 and C9498 (requiring prior auth), plus discontinued coverage of 6 codes effective June 30, 2017.

Action Required

Action needed
Immediately: Update billing system to include new HCPCS codes Q9984, Q9985, Q9986, Q9989 for applicable provider types. Configure prior authorization requirement for C9498 in ASC and outpatient hospital settings. Remove discontinued codes C9487, J1725, P9072, 90649, 90650, 90748 from billing system. Update encounter forms and staff training materials. Claims using discontinued codes will be denied for dates of service after June 30, 2017.

Affected Billing Codes

Q9984
Q9985
Q9986
Q9989
C9498
C9487
J1725
P9072
90649
90650
90748