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MedicaidBilling CodesMedium impact

MAB2025123003

Pennsylvania Medicaid (DHS)·PA · Family Medicine, OB-GYN, General Practice·Provider Bulletin
Effective date
Dec 30, 2025
We identified it
Jun 20, 2026
Days to comply

Summary

Pennsylvania Medical Assistance updated the Family Planning Services Program fee schedule, adding new procedure codes 87521 and 87626, end-dating S4989, and increasing reimbursement rates for contraceptive devices (J7296-J7307). Laboratory procedure codes 87490 and 87492 are now limited to once per day instead of twice per day.

Action Required

Action needed
By December 30, 2025: Billing team must update Pennsylvania Medicaid billing to add new codes 87521 and 87626 with FP modifier, stop billing S4989 (end-dated May 1, 2025), update fee schedules for contraceptive devices J7296-J7307 with new higher rates, and limit laboratory codes 87490 and 87492 to once per day maximum. Ensure all family planning services use the FP modifier for proper reimbursement.

Affected Billing Codes

87521
87626
S4989
11976
11981
11982
11983
58300
58301
J7296
J7297
J7298
J7300
J7301
J7307
87491
87563
87591
87490
87492