MedicaidBilling CodesHigh impact
Coding Change for Depression Screenings Effective April 1, 2023
Illinois Medicaid - HFS·IL · Family Medicine, Internal Medicine, Pediatrics +2 more·Provider Notice
Effective date
Apr 1, 2023
We identified it
Jun 20, 2026
Summary
Starting April 1, 2023, depression screenings for Illinois Medicaid patients must use specific G codes (G8431 for positive screens, G8510 for negative screens) instead of the general CPT 96127 code. CPT 96127 should only be used for non-depression screenings going forward.
Action Required
By April 1, 2023: Billing team must update billing software to use G8431 for positive depression screenings with follow-up plans and G8510 for negative depression screenings. Continue using CPT 96127 only for non-depression behavioral screenings. Update encounter forms and train providers on new coding requirements for Illinois Medicaid patients.