CPT Code Update 2019

Effective with date of service Jan. 1, 2019, the American Medical Association (AMA) has added new CPT codes, deleted others and changed descriptions of some existing codes. For complete information regarding all CPT codes and descriptions, refer to the 2019 edition of Current Procedural Terminology, published by the AMA. Providers should note the full descriptions as well as all associated parenthetical information published in this edition when selecting a code for billing services to the NC Medicaid.

New CPT codes that are covered by the NC Medicaid program are effective with date of service Jan. 1, 2019. Claims submitted with deleted codes will be denied for dates of service on or after Jan. 1, 2019. Previous policy restrictions continue in effect unless otherwise noted. This includes restrictions that may be on a deleted code that are continued with the replacement code(s).

For additional information, including a list of the new CPT codes covered by Medicaid and NCHC, refer to the January 2019 Medicaid Bulletin on the NC Medicaid website.