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MedicaidBilling CodesHigh impact

MSA 17-01

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

Summary

Michigan Medicaid has implemented extensive CPT and HCPCS code updates effective January 1, 2017, adding over 150 new billable codes across multiple provider categories and discontinuing 200+ older codes. The bulletin also introduces new coverage for existing codes and establishes retroactive coverage for select procedures dating back to August 2016.

Action Required

Action needed
Immediately: Billing team must update billing software to include all new 2017 HCPCS codes listed for your provider category and remove all discontinued codes effective December 31, 2016. Update encounter forms to reflect new codes 97161-97168 for therapy services and new prior authorization requirements for codes marked with asterisks (36473, 36474, J0570, 81327, A4467). Claims using discontinued codes after December 31, 2016 will be denied. Submit retroactive claims for eligible codes 92601-92604 for services provided October 1, 2016 or later.

Affected Billing Codes

22853
22854
22859
22867
22868
22869
22870
27197
27198
28291
28295
31551
31552
31553
31554
31572
31573
31574
31591
31592
33340
33390
33391
36456
36473
36474
36901
36902
36903
36904
36905
36906
36907
36908
36909
37246
37247
37248
37249
43284
43285
58674
62320
62321
62322
62323
62324
62325
62326
62327
77065
77066
77067
80305
80306
80307
81539
84410
92242
93590
93591
93592
96160
96161
97161
97162
97163
97164
97165
97166
97167
97168
99151
99152
99153
99155
99156
99157
A9515
A9587
A9588
A9597
A9598
G0500
G0505
G0508
G0509
J0570
J0883
J0884
J1130
J1942
J2182
J2786
J2840
J7175
J7179
J7202
J7207
J7209
J7320
J7322
J7342
J9034
J9145
J9176
J9205
J9295
J9352
96931
96932
96933
96934
96935
96936
99487
G0476
G0499
90967
90968
90969
90970
99497
99498
92601
92602
92603
92604
J2502
D1575
D6081
A4467
G0493
G0494
G0495
G0496