Medicaid Colorado – Claims for HCPCS 2023 Procedure Codes Suspending for EOB 0000

Effective January 1, 2023, claims billed with a HCPCS 2023 procedure code may begin suspending for EOB 0000 – “This claim/service is pending for program review.” The Colorado interChange is being updated with the 2023 HCPCS billing codes based on the Centers for Medicare & Medicaid Services (CMS) annual release of deletions, changes and additions.

 A special issue of the Provider Bulletin is expected for publication in mid or late January with the details. Claims will be released from suspense once the update is complete. 

Source: https://hcpf.colorado.gov/sites/hcpf/files/Provider News & Resources - Issue 59 12-19-2022.pdf