MedicaidBilling CodesMedium impact
MAB2021092401
Pennsylvania Medicaid (DHS)·PA · Family Medicine, OB-GYN·Provider Bulletin
Effective date
Aug 23, 2021
We identified it
Jun 20, 2026
Summary
Pennsylvania Medical Assistance updated the Family Planning Services Program Fee Schedule effective August 23, 2021, adding new laboratory procedure codes 87510, 87480, 87660, and 87661 with FP modifiers, end-dating evaluation code 99201, and updating service limits for code 87480 from twice per day to once per day.
Action Required
Immediately: Billing team must update Pennsylvania Medicaid family planning claims to use new laboratory codes 87510, 87480, 87660, and 87661 with FP modifier for eligible provider types. Stop billing code 99201 as it has been end-dated. Update billing system to limit code 87480 to once per day instead of twice per day. Verify provider type and place of service combinations match the updated fee schedule chart.