January 1, 2011 CMS Code Updates

February 17, 2011

The latest CMS code updates have been posted on the MIHMS Health PAS Online Portal . (See “Code Additions: CPT” , “Code Additions: HCPC” , and “Codes Discontinued: Procedures.” )
The posted lists show all the CMS codes added effective January 1, 2011 and whether MaineCare will cover them. A separate list includes codes that have been discontinued. The discontinued HCPC/CPT codes cannot be used after date of service 12/31/2010.
Though the changes are effective 1/1/2011, MaineCare's claims system has not yet added them. When the claims system has added the codes, you will be notified. Until then, claims for the newly added codes will be denied. Providers are advised to hold claims for the new codes until the system is updated to handle them correctly.
For questions about billing and claims, please contact Provider Services at 1-866-690-5585.