This bulletin applies to NC Medicaid Direct and NC Medicaid Managed Care.
The Centers for Medicare & Medicaid Services (CMS) sent a file to Medicaid in November 2024 indicating the following code would be end-dated Dec. 31, 2024:
- G9919 – Screening performed and positive and provision of recommendation
- G9920 - Screening performed and negative
NC Medicaid publishes a bulletin in December of each year, informing providers of new codes, covered by Medicaid, as well as codes that will terminate on December 31.
- HCPCS code G9920 was included in the December 2024 bulletin 2025 CPT Code Update as a terminated code.
- CMS released a corrected file in January 2025, indicating that codes G9919 and G9920 were not to be terminated.
- NCTracks has been updated to reflect these changes.
- Providers may resubmit NC Medicaid Direct denied claims, retroactive to Jan. 1, 2025.
For beneficiaries enrolled in a managed care plan (PHP), providers should contact the appropriate health plan for that beneficiary.
Contact
NCTracks Call Center: 800-688-6696
NC Managed Care health plans