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MedicaidBilling CodesHigh impact

MAB2023060101

Pennsylvania Medicaid (DHS)·PA · Family Medicine, Internal Medicine, Pediatrics +5 more·Provider Bulletin
Effective date
Jun 1, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Pennsylvania Medical Assistance program has end-dated 21 E&M procedure codes and made extensive changes to provider type/place of service combinations for remaining E&M codes, including adding new home visit codes and expanding inpatient/observation billing options. Multiple provider types including physicians, nurse practitioners, physician assistants, and specialists have updated billing privileges.

Action Required

Action needed
Immediately: Update billing system to stop using end-dated E&M codes (99217, 99218, 99219, 99220, 99224, 99225, 99226, 99241, 99251, 99281, 99318, 99324-99328, 99334-99337, 99343) for Pennsylvania Medicaid claims. Update provider type and place of service combinations for remaining E&M codes per the bulletin specifications. Add TH modifier capability for obstetric services. Train billing staff on new home visit codes 99344-99345 and updated inpatient/observation billing rules. Failure to comply will result in claim denials.

Affected Billing Codes

99217
99218
99219
99220
99224
99225
99226
99241
99251
99281
99318
99324
99325
99326
99327
99328
99334
99335
99336
99337
99343
99344
99345
99234
99235
99236
99221
99222
99223
99231
99232
99233
99238
99239
99252
99253
99254
99255
99242
99243
99244
99245
99350
99347
99348
99349
99460
99463
99306
99310
99341
99342