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Untitled Document
New Medi-Cal Procedure Codes Took
Effect Sept. 22
[Posted 10/02/03]
Medi-Cal providers should have begun using Medi-Cal’s new
procedure codes on September 22, as part of phase one of the program’s HIPAA
implementation plan. The previous local codes have been discontinued. If
your office provides services to Medi-Cal patients, please confirm whether the new
codes have been incorporated into your billing systems. If they
have not, you may need to correct and resubmit claims for services
provided to Medi-Cal patients on or after September 22.
Medi-Cal has published changes in the following code sets:
Adjustment Reason Codes/Health Care Remarks Codes (Formerly Remittance Advice
Details Codes); Condition Codes; Delay Reason Codes (Formerly Billing Limit
Exception Indicators); Immunizations and Vaccines; Inpatient Revenue Codes
(Formerly Accommodation Codes); Inpatient ICD-9-CM Volume 3 Surgical Codes;
Orthotics and Prosthetics; Patient Status Codes; Place of Service Codes; Value
Codes (Patient Share of Cost).
Manual replacement pages related to this first phase of HIPAA implementation
were published in the September issue of Medi-Cal’s Provider Update. Questions
can be directed to the Medi-Cal Provider Support Center at 800/541-5555 (select
prompt option "4").
Contact: CMA’s reimbursement help line,
888/401-5911.
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