Billing Beat

Medicaid Colorado – 2022 Healthcare Common Procedure Coding (HCPCS) & Current Procedural Terminology (CPT) Procedure Code Release

February 7, 2022

As of January 1, 2022, claims billed with 2022 procedure codes may suspend. The Colorado interChange will be updated with the new billing codes, and suspended claims will be released.

A special issue of the Provider Bulletin is expected for publication in mid or late January with the details.

Providers are reminded to check the Provider Rates & Fee Schedule web page before billing, to ensure the codes are a covered benefit. All codes must be reviewed for medical necessity, prior authorization coverage standards and rates before the codes are reimbursable.

Source: https://hcpf.colorado.gov/sites/hcpf/files/Bulletin_0122_B2200472.pdf

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