MedicaidBilling CodesMedium impact
Microsoft Word - Medical Foster Care MAB MA Program Fee Sched Proc Code Cha...
Pennsylvania Medicaid (DHS)·PA · Pediatrics·Provider Bulletin
Effective date
Nov 1, 2005
We identified it
Jun 20, 2026
Summary
Pennsylvania Medical Assistance (Medicaid) is transitioning from local procedure codes to national HIPAA-compliant codes for medical foster care services. Four local Y-codes (Y3223, Y3224, Y3225, Y3226) are being discontinued and replaced with national procedure codes effective November 1, 2005.
Action Required
By November 1, 2005: Medical foster care providers must stop using local procedure codes Y3223, Y3224, Y3225, and Y3226. Update billing system to use the national procedure codes specified in the attached crosswalk document. Services rendered on or before October 31, 2005 must use local codes; services on or after November 1, 2005 must use national codes. Failure to use correct national codes and modifiers will result in claim denials or inappropriate payments.