MedicaidBilling CodesMedium impact
MSA 16-42
Michigan Medicaid - MDHHS·MI · Pediatrics, Family Medicine, Internal Medicine·Provider Bulletin
Effective date
Dec 31, 2016
We identified it
Jun 20, 2026
Summary
Michigan Medicaid is ending coverage for blood lead nursing assessment visits under procedure code T1028 effective December 31, 2016, and transferring this service to the Children's Special Health Care Services case management benefit for children with blood lead levels of 5 mcg/dL or greater.
Action Required
By December 31, 2016: Stop billing procedure code T1028 for blood lead nursing assessment visits. For children with blood lead levels of 5 mcg/dL or greater, refer to Children's Special Health Care Services Chapter, Section 9.4 Case Management Benefit for proper billing procedures. Update billing system to block T1028 code.