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MedicaidReimbursementMedium impact

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Pennsylvania Medicaid (DHS)·PA · Dentistry, Orthopedics, Wound Care +1 more·Provider Bulletin
Effective date
Mar 15, 2008
We identified it
Jun 20, 2026
Days to comply

Summary

Pennsylvania Department of Public Welfare updated HCPCS codes, fees, and coverage limits for medical equipment and supplies effective March 15, 2008. The policy includes surgical dressing holders, compression device sleeves, protective helmets, dental procedures, and various medical devices with specific reimbursement rates and quantity limits.

Action Required

Action needed
Billing team must verify current Pennsylvania Medicaid fee schedules and coverage limits for the listed HCPCS codes, as this appears to be outdated 2008 guidance. Contact Pennsylvania Medicaid to obtain current rates and authorization requirements, as fees and policies have likely changed significantly since 2008.

Affected Billing Codes

A4461
A4463
A4600
A8000
A8001
A8002
A8003
A8004
D0273
D1206
D1555
G0392
G0393
G0394
J7345
K0738
L1001
L3806
L3808