Diagnosis Codes Being Added to Exemption List for the Annual Office Visit Limit

Medicaid has designated specific ICD-10-CM diagnosis codes that do not count toward the annual visit limitation. These codes are reviewed regularly and updated as appropriate. The following ICD-10-CM codes will be added to this list of diagnosis codes for claims with dates of service on or after Jan. 1, 2019:

• F11.20 (OPIOID DEPENDENCE, UNCOMPLICATED)
• Z79.891 (LONG TERM [CURRENT] USE OF OPIATE ANALGESIC)

Visit NC Medicaid Annual Visit for more information.