As of 1/1/2021, the CPT code 99201 has been deleted. I used this code for New WIC certifications. I am trying to decide if I should be 99202 for these visits or if I should only bill 99211. I know this is a situation that during any meetings we have there are discrepancies on who bills what code. The MoHealthNet provider manual was update on 11/25/20. This is what is says for WIC services.

13.12. D WOMEN, INFANTS AND CHILDREN (WIC) SERVICES
WIC agencies with MO HealthNet NPIs for the agency and the performing provider may bill for
a minimal office visit (CPT code 99211) and for a hemoglobin lab (CPT code 85018) performed
during a certification or re-certification of MO HealthNet eligible WIC clients, only if the agency
is able to substantiate its costs exceed any amounts received from other sources of funding. Costs
associated with the WIC services are non-reimbursable costs for Federally Qualified Health
Centers (FQHCs). If the WIC provider cannot substantiate that its costs do not exceed funds
received from other sources, then the agency cannot bill MO HealthNet for the WIC services.

The way I read this, is we can only bill 99211 for any WIC visit. I have always gotten paid when I billed 99201 ($35.00 reimbursement compared to 17.85 for 99211). Just wondering what others are doing.

Thanks Megan Thrasher