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CPT Code 99070

Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Oct 1, 2018
We identified it
Jun 20, 2026
Days to comply

Summary

Effective October 1, 2018, providers can no longer use CPT code 99070 for office-dispensed items and supplies. Instead, they must use specific HCPCS codes for each item, with cost invoices still required for pricing.

Action Required

Action needed
Immediately: Stop using CPT code 99070 for office-dispensed items and supplies. Update billing software to use specific HCPCS codes from the approved list for physicians/APNs, or A9999 for podiatrists when specific codes aren't available. Continue attaching cost invoices to paper claims (HFS 2360 for physicians/APNs, HFS 1443 for podiatrists). Claims with 99070 after October 1, 2018 will be rejected and require resubmission with correct HCPCS codes.

Affected Billing Codes

99070
A4561
A7007
A7015
A9999
B4087
E0100
E0105
E0112
E0114
E0191
E1399
L0172
L0174
L1499
L1812
L1833
L2999
L3260
L3334
L3485
L3650
L3710
L3809
L3982
L3999
L4350
L4361
L4387
L5999