Resources for Health Insurance Portability and Accountability Act (HIPAA)

Pilot Medicaid HCPCS Code Modification Request Guidelines

CMS

1. Use the Pilot Medicaid HCPCS Code Modification Form to submit requests for new codes or modifications to existing codes. Only State Medicaid agencies may submit code requests using the Pilot Medicaid HCPCS code request process and application form.
2. Request one code, or a group of similar code requests, per submission packet.
3. In addition to providing the information requested, please include other descriptive and/or printed materials you think will be helpful in furthering the CMS HCPCS Workgroup's understanding of the nature of the service, product, or item, and the need for a new code.

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