Corrections to 2025 CPT Code Update Bulletin Effective Jan. 1, 2025

This corrects the end-date for code G9920 in the December 2024 bulletin.

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 

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