Physician-Related Services/Health Care-Related Services Billing Guide updates eff. 2/1/2020

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Apple Health (Medicaid) Provider Alert

The Health Care Authority (HCA) revised the Physician-Related Services/Health Care Professional Services Billing Guide, dated February 1, 2020.

What has changed?


  • Changed references to medication assistance treatment (MAT) to medication for opioid use disorder to reflect the change in the program name.
  • Added new covered procedure code, CPT® code S2068, to the table under the Breast removal and breast reconstruction section.
  • Revised the Early pregnancy loss and abortion services—Medical abortions section to include information about billing for HCPCS code S0199.

For specific details, see the What has changed table in the revised guide.