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MAB2023083101

Pennsylvania Medicaid (DHS)·PA · General Surgery, Plastic Surgery, ENT (Ear, Nose & Throat) +5 more·Provider Bulletin
Effective date
Sep 5, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Pennsylvania Medicaid is implementing 2023 HCPCS updates effective September 5, 2023, adding new billing codes with prior authorization requirements, end-dating obsolete codes, and adjusting fees for existing codes. The changes affect multiple specialties including surgery, laboratory, dental, and durable medical equipment services.

Action Required

Action needed
By September 5, 2023: Billing team must update PA Medicaid billing system to add new codes and require prior authorization for codes 84433, A4453, A4459, D4342, E0183, E0766, and K0455. Stop billing end-dated codes (49560-49657, 99217-99343, K0553-K0554) for new services after this date but continue using them for previously authorized services through September 5, 2024. Update fee schedules for laboratory code 81243 (reduce from $93.14 to $45.63) and medical supply codes A4224, A4351-A4353, A4362 with new rates and unit limits. Providers must obtain prior authorization before billing the specified codes or claims will be denied.

Affected Billing Codes

15778
30469
49591
49592
49593
49594
49595
49596
49613
49614
49615
49616
49617
49618
49621
49622
49623
55867
76883
81449
81456
84433
87467
87468
87469
87478
87484
93569
93573
93574
93575
A4239
D0372
D0373
D0374
D7509
D9953
E0183
E2103
55874
81445
81450
81455
87563
92136
99473
A4238
A4453
A4459
A4663
A4670
D4342
E0766
E2102
K0455
49560
49561
49565
49566
49568
49570
49572
49580
49582
49585
49587
49590
49652
49653
49654
49655
49656
49657
99217
99218
99219
99220
99224
99225
99226
99241
99251
99318
99324
99325
99326
99327
99328
99334
99335
99336
99337
99343
K0553
K0554
99292
99188
81243
A4224
A4351
A4352
A4353
A4362
D1310
D1330
D1354