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CPT code 00211 is not payable per medi-cal. If we bill a different CPT 00210, is that considered upcoding? Or since it is not payable per Medi-Cal (medicaid plans) can we bill the patient?
Thank you so much.
Thank you so much.
Yes, I am! I checked the medi-cal rates and it is not payable. How do we get paid for these kind of services?Are you referring to the anesthesia code 00211 ?
Did you already bill them and get a denial for a specific member ? I'm sorry, I'm not familiar with Medi-cal (other than them being a medicaid option in CA) so, I'm just trying to get more detailsYes, I am! I checked the medi-cal rates and it is not payable. How do we get paid for these kind of services?
I am seeing that they show a span of codes, 00210-00212, which would include 00211Yes, I am! I checked the medi-cal rates and it is not payable. How do we get paid for these kind of services?
ok- so, I did see a list effective 05/15/23 that excludes 00211, which doesn't make any sense to me.. maybe reach out to a representative ? Sorry that I couldn't be more help !Yes, I am! I checked the medi-cal rates and it is not payable. How do we get paid for these kind of services?
Thank you so much for your time! We did bill 00211 multiple times and it is getting denied for the same reason for different members.ok- so, I did see a list effective 05/15/23 that excludes 00211, which doesn't make any sense to me.. maybe reach out to a representative ? Sorry that I couldn't be more help !