Monday, July 21, 2008

DHCS/MediCal: Code Conversions-Blood and Blood Derivatives

This article serves as a reminder that, effective for dates of service on or after August 1, 2008, the Department of Health Care Services (DHCS) will discontinue the use of the current Medi-Cal interim codes for blood products and some services related to administering those products. These interim codes will be replaced by Healthcare Common Procedure Coding System (HCPCS) Level II and Current Procedural Terminology (CPT-4) codes so as to be in compliance with provisions of the Health Insurance Portability and Accountability Act (HIPAA) of 1996, Public Law 104-191, 45 CFR 162.1000.

Complete details of the billing changes, including manual replacement pages (MRPs), can be found in the June release of the Medi-Cal Updates bulletin Part 2, which can be accessed from the Medi-Cal Web site by clicking on the “Publications” tab on the Home page. Click here to access the General Medicine Part 2 bulletin, found at http://files.medi-cal.ca.gov/pubsdoco/publications/bulletins/gm/archive/word/gm20080601.doc

For additional assistance, providers may contact the Telephone Service Center (TSC) at 1-800-541-5555 or visit the Medi-Cal Web site at www.medi-cal.ca.gov and access the NPI link on the “Featured” tab.

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