MedicaidBilling CodesHigh impact
Emergency Status Granted to Amendments to COMAR 10.09.02 Physicians' Services
Maryland Medicaid·MD·General Provider
Effective date
Jul 1, 2002
We identified it
Jun 20, 2026
Summary
Maryland Medicaid implemented emergency amendments increasing physician fees for office visits, hospital visits, and various evaluation and management services. The changes also require use of CPT 2002 codes for EPSDT screenings and specific billing procedures for hospital outpatient visits and home deliveries.
Action Required
By July 1, 2002: Update billing system to use CPT Preventive Medicine codes 99381-99385 and 99391-99395 for comprehensive EPSDT screens. Use procedure code 99173 for vision screening components. Remove modifier -26 from hospital outpatient E&M codes. Update vaginal delivery billing to use codes 59410/59614 for home/birthing center deliveries and code 59899 for delivery supplies in these settings.