Billing Beat

California Medi-Cal Correction Of Reimbursement Pricing Errors

April 1, 2004

Medi-Cal has identified pricing errors for some reimbursement rates (effective date October 1, 2003). Medi-Cal will automatically reprocess those reimbursed claims with the affected service codes submitted with dates of service on or after October 30, 2003.

The following laboratory codes, previously submitted “By Report” with pricing documentation, are now priced with the maximum reimbursement rates:

Code Price
86294 $21.69
87338 $15.90
88142 $22.40
88143 $19.60
88356 $19.60

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