Who is affected by this change?

This affects Connecticut Medicaid (HUSKY Health) in CT on Medicaid plans.

MedicaidAdministrativeMedium impact

Provider Quarterly Newsletter- September 2017 pdf

Q: Which billing codes are affected?

The following codes are affected: J3490, C9257, J9035, 90284, 90285, 90286, 90287, 90288, 90291, 90296, 90371, 90375, 90376, 90378, 90384, 90385, 90386, 90389, 90393, 90396, 90399, 90476, 90477, 90581, 90585, 90586, 90620, 90621, 90625, 90630, 90633, 90634, 90636, 90644, 90645, 90646, 90647, 90648, 90649, 90650, 90651, 90653, 90654, 90655, 90656, 90657, 90658, 90660, 90661, 90662, 90664, 90666, 90667, 90668, 90670, 90672, 90673, 90674, 90675, 90676, 90680, 90681, 90685, 90686, 90687, 90688, 90690, 90691, 90696, 90698, 90700, 90702, 90703, 90704, 90705, 90706, 90707, 90708, 90710, 90712, 90713, 90714, 90715, 90716, 90717, 90718, 90719, 90720, 90721, 90723, 90725, 90727, 90732, 90733, 90734, 90736, 90738.

Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin

Effective date

Not stated

We identified it

Jun 20, 2026

Days to comply

—

Summary

Connecticut Medicaid newsletter from September 2017 covers provider re-enrollment requirements, NDC validation for physician-administered medications, and Electronic Visit Verification (EVV) contact procedures. Key billing impact is NDC validation requirement for drug procedure codes in J, S, Q series and CPT codes 90284-90738.

Action Required

Action needed

Billing team must validate 11-digit NDC codes match corresponding HCPCS codes when billing physician-administered drugs (J, S, Q series) and immune globulins/vaccines (CPT 90284-90738). Use Drug Search tool at www.ctdssmap.com to crosswalk NDCs to correct procedure codes. Claims with mismatched NDC/procedure codes will deny with EOB code 839.

Affected Billing Codes

J3490

C9257

J9035

90284

90285

90286

90287

90288

90291

90296

90371

90375

90376

90378

90384

90385

90386

90389

90393

90396

90399

90476

90477

90581

90585

90586

90620

90621

90625

90630

90633

90634

90636

90644

90645

90646

90647

90648

90649

90650

90651

90653

90654

90655

90656

90657

90658

90660

90661

90662

90664

90666

90667

90668

90670

90672

90673

90674

90675

90676

90680

90681

90685

90686

90687

90688

90690

90691

90696

90698

90700

90702

90703

90704

90705

90706

90707

90708

90710

90712

90713

90714

90715

90716

90717

90718

90719

90720

90721

90723

90725

90727

90732

90733

90734

90736

90738

Related policy hubs

Connecticut Medicaid (HUSKY Health) policies CT policy changes Code J3490 Code C9257 Code J9035 Code 90284 Code 90285 Code 90286 Code 90287 Code 90288 Code 90291 Code 90296 Code 90371 Code 90375 Code 90376 Code 90378 Code 90384 Code 90385 Code 90386 Code 90389 Code 90393 Code 90396 Code 90399 Code 90476 Code 90477 Code 90581 Code 90585 Code 90586 Code 90620 Code 90621 Code 90625 Code 90630 Code 90633 Code 90634 Code 90636 Code 90644 Code 90645 Code 90646 Code 90647 Code 90648 Code 90649 Code 90650 Code 90651 Code 90653 Code 90654 Code 90655 Code 90656 Code 90657 Code 90658 Code 90660 Code 90661 Code 90662 Code 90664 Code 90666 Code 90667 Code 90668 Code 90670 Code 90672 Code 90673 Code 90674 Code 90675 Code 90676 Code 90680 Code 90681 Code 90685 Code 90686 Code 90687 Code 90688 Code 90690 Code 90691 Code 90696 Code 90698 Code 90700 Code 90702 Code 90703 Code 90704 Code 90705 Code 90706 Code 90707 Code 90708 Code 90710 Code 90712 Code 90713 Code 90714 Code 90715 Code 90716 Code 90717 Code 90718 Code 90719 Code 90720 Code 90721 Code 90723 Code 90725 Code 90727 Code 90732 Code 90733 Code 90734 Code 90736 Code 90738