Back to dashboard
MedicaidCoverageHigh impact

Addition of procedure codes, addition of procedure codes that constitute group 9 and rate increase of procedure codes used by Free-Standing Ambulatory Surgical Centers

Maryland Medicaid·MD · Anesthesiology, Cardiology, Dermatology +10 more·Ambulatory Surgical Centers
Effective date
Apr 30, 2004
We identified it
Jun 20, 2026
Days to comply

Summary

Maryland Medicaid is removing 112 procedure codes from coverage at Ambulatory Surgical Centers and adding new Group 9 codes with rate increases. Procedures listed will no longer be reimbursed by Maryland Medicaid after April 30, 2004.

Action Required

Action needed
Immediately: Billing staff at Maryland ASCs must update billing systems to block the 112 listed procedure codes for Maryland Medicaid claims with service dates after April 30, 2004. Verify CMS website for updated Medicare-approved ASC procedure codes and implement new Group 9 codes and rate increases effective April 12, 2004. Claims for discontinued codes will be denied by Maryland Medicaid.

Affected Billing Codes

14020
21810
31710
50580
15756
21920
31785
50684
15757
22100
31800
50688
15758
22101
32002
50690
15842
22102
32005
51005
16030
22103
32020
51600
16035
22325
34101
51610
19260
22326
38700
51725
19364
22327
38790
51865
20660
22328
40805
51900
20661
23065
40806
51920
20662
24065
40820
54125
20663
24150
41000
55600
20665
24151
41105
55605
20955
24152
41110
55650
20962
24153
41115
56405
20969
25065
41805
56605
20970
25170
41806
57310
20972
25441
42104
57311
20973
26035
42106
57320
21041
26037
42160
57800
21343
26551
42225
58551
21360
26553
42281
60220
21365
26554
42335
60225
21385
26992
44345
62256
21386
27030
44346
62351
21387
27303
49000
62367
21390
27440
49400
62368
21395
27511
49425
64581
21406
27513
50020
67109
21407
27524
50040
69424
21422
27535
50520
69710
21470
27613
50570
31715
21495
27715
50572
21510
30124
50574
21550
31584
50576
21620
31600
50578

Related policy hubs

Maryland Medicaid policiesMD policy changesAnesthesiologyCardiologyDermatologyENT (Ear, Nose & Throat)GastroenterologyGeneral SurgeryNeurosurgeryOB-GYNOphthalmologyOral & Maxillofacial SurgeryOrthopedicsPlastic SurgeryUrologyCode 14020Code 21810Code 31710Code 50580Code 15756Code 21920Code 31785Code 50684Code 15757Code 22100Code 31800Code 50688Code 15758Code 22101Code 32002Code 50690Code 15842Code 22102Code 32005Code 51005Code 16030Code 22103Code 32020Code 51600Code 16035Code 22325Code 34101Code 51610Code 19260Code 22326Code 38700Code 51725Code 19364Code 22327Code 38790Code 51865Code 20660Code 22328Code 40805Code 51900Code 20661Code 23065Code 40806Code 51920Code 20662Code 24065Code 40820Code 54125Code 20663Code 24150Code 41000Code 55600Code 20665Code 24151Code 41105Code 55605Code 20955Code 24152Code 41110Code 55650Code 20962Code 24153Code 41115Code 56405Code 20969Code 25065Code 41805Code 56605Code 20970Code 25170Code 41806Code 57310Code 20972Code 25441Code 42104Code 57311Code 20973Code 26035Code 42106Code 57320Code 21041Code 26037Code 42160Code 57800Code 21343Code 26551Code 42225Code 58551Code 21360Code 26553Code 42281Code 60220Code 21365Code 26554Code 42335Code 60225Code 21385Code 26992Code 44345Code 62256Code 21386Code 27030Code 44346Code 62351Code 21387Code 27303Code 49000Code 62367Code 21390Code 27440Code 49400Code 62368Code 21395Code 27511Code 49425Code 64581Code 21406Code 27513Code 50020Code 67109Code 21407Code 27524Code 50040Code 69424Code 21422Code 27535Code 50520Code 69710Code 21470Code 27613Code 50570Code 31715Code 21495Code 27715Code 50572Code 21510Code 30124Code 50574Code 21550Code 31584Code 50576Code 21620Code 31600Code 50578