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MedicaidReimbursementLow impact

Fiscal Year 2024 Abortion Non-Facility Rate Increases

Maryland Medicaid·MD · OB-GYN, Family Medicine·Provider Transmittal
Effective date
Feb 1, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

Maryland Medicaid increased reimbursement rates for abortion procedures effective February 1, 2024. The new rates apply to D&C ($540.66), D&E ($636.63), and Medical Abortion ($536.49) when performed in non-facility settings.

Action Required

Action needed
Immediately: Billing team must update fee schedules in billing system to reflect new Maryland Medicaid rates for CPT 59840 ($540.66), CPT 59841 ($636.63), and HCPCS S0199 ($536.49) for non-facility services provided on or after February 1, 2024. Update encounter forms with new rates for Maryland Medicaid patients.

Affected Billing Codes

59840
59841
S0199