I *think* what the poster is trying to say is that those codes are not on the Medicaid Fee Schedule, because if Medicaid is primary, they are not services Medicaid pays for. If that is the case, there isn't anything that can be done. For instance, the 99490 is CCM, and Medicaid does not pay for that, and there is no other code that can be used. But I am not sure this is what the poster is asking, it is just my best guess.