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Wiki CPT 00211

Elocin

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Location
West Covina, CA
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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.
 
Yes, I am! I checked the medi-cal rates and it is not payable. How do we get paid for these kind of services?
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 details
 
Yes, 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 !
 
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