Medicaid Provider Information

Medicaid Coding Guidelines

CPT codes, descriptions and other data only are copyright 1999 American Medical Association (or such other date of publication of CPT). All Rights Reserved. Applicable FARS/DFARS Apply.

The Medicaid coding guideline files for all physicians are presented in PDF format. To receive the information in an alternative format, contact sregner@nd.gov.

Table of Contents

• Chiropractic Services (Revised 10/1/2016)
• Developmental Screenings and Brief Behavioral Assessments (Revised 12/2018)
• Encounters for Routine and Administrative Services (Revised 9/2021)
• Fluoride Varnish (Effective 1/1/2022)
  • Inform sheet: Benefits of fluoride varnish (May 2022)
  • Inform sheet: Dental fluoride varnish comparison (ND Medicaid/Sanford Health Plan/Blue Cross Blue Shield of North Dakota) (April 2022)
• HIV screenings (Created 4/2020)
• Maternal Depression Screening (Revised 4/2020)
• Medical Nutrition Therapy (Revised 6/2020)
• Synagis (Palivizumab) (Revised 9/2018)
• Vaccine/Toxoids (Revised 2/2022)

Retired Coding Guidelines

• Conscious Sedation (Retired 6/30/2018)
• Forensic Examination and Interview (Child Victims of Suspected Abuse) (Retired 10/1/2018)
• Intramuscular and Subcutaneous Injections – CPT © 96372 (Retired 10/1/2018)
• Smoking and Tobacco Cessation Counseling for Pregnant Women (Retired 12/31/2021)

 

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