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MedicaidBilling CodesHigh impact

99-19-02 2019 EPSDT Periodicity Schedule MAB

Pennsylvania Medicaid (DHS)·PA·Provider Bulletin
Effective date
Aug 19, 2019
We identified it
Jun 20, 2026
Days to comply

Summary

Pennsylvania Medical Assistance (Medicaid) updated their fee schedule with 2019 HCPCS changes, adding 100+ new procedure codes and end-dating 40+ obsolete codes. New prior authorization requirements added for advanced radiology services (77046-77049), durable medical equipment, and prosthetic codes.

Action Required

Action needed
Immediately: Billing team must update Pennsylvania Medicaid billing system to include new procedure codes (10004-V5221) and remove end-dated codes (10022-V5220). Add prior authorization requirements for radiology codes 77046-77049, DME codes E0277, E0986, E1012 (NU/RR modifiers), and prosthetic codes V5171-V5221. Stop billing end-dated codes after August 19, 2020 for previously authorized services. Update fee schedules and encounter forms to reflect new billing limitations and modifier requirements.

Affected Billing Codes

10004
10005
10006
10007
10008
10009
10010
10011
10012
11102
11103
11104
11105
11106
11107
27369
33285
33286
36572
36573
38531
43762
43763
50436
50437
77046
77047
77048
77049
81163
81164
81165
81166
81167
81329
81336
81337
81596
83722
92273
92274
95976
95977
95983
95984
96112
96113
96121
96130
96131
96132
96133
99491
A5514
D1516
D1517
V5171
V5172
V5181
V5211
V5212
V5213
V5214
V5215
V5221
22853
81015
81162
81528
82542
91200
99484
99492
99493
99494
A4333
A4398
A4399
A4432
A4433
D0140
D1320
E0277
E0986
E1012
10022
11100
11101
20005
27370
31595
33282
33284
41500
46762
50395
61332
61480
61610
61612
64508
66220
76001
77058
77059
78270
78271
78272
81211
81213
81214
92275
95974
95975
95978
95979
96101
96111
96118
96119
D1515
K0903
V5170
V5180
V5210
V5220