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Preconception Risk Assessment

Illinois Medicaid - HFS·IL · Family Medicine, Internal Medicine, OB-GYN +1 more·Provider Notice
Effective date
Jan 1, 2012
We identified it
Jun 20, 2026
Days to comply

Summary

Illinois HFS implemented a new Preconception Risk Assessment program for Medicaid providers effective January 1, 2012. Providers can bill CPT code 99420 at $14.60 for administering the validated risk assessment tool (Form HFS 27) to women of reproductive age.

Action Required

Action needed
Illinois Medicaid providers: Download Form HFS 27 from the HFS website and integrate preconception risk assessments into routine care for women of reproductive age. Use CPT code 99420 for billing at $14.60 reimbursement rate. If using alternative risk assessment tools, obtain written HFS approval first.

Affected Billing Codes

99420