Guide to Edits Included in the New York Medicaid Program 29-I Health Facility BILLING Guidance

  • Guidance also available in Portable Document Format (PDF)

Version 2025-1 - January 2025

Update Made Updated Text Location
Added Procedure Code Procedure code 98016: Brief communication technology-based service (e.g., virtual check-in) by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related evaluation and management service provided within the previous 7 days nor leading to an evaluation and management service or procedure within the next 24 hours or soonest available appointment, 8-10 minutes of medical discussion. Do not report 98016 in conjunction with 98000-98015. Do not report services of less than 8 minutes of medical discussion. This is a patient-initiated service. P. 29
Added Procedure Code Added information on billing for procedure code 98016 to Appendix C: Other Limited Health-Related Services Rate Coding Table P. 53