Billing Beat

Presumptive Eligibility Program: Additional Benefits

April 1, 2009

Effective retroactively for dates of service on or after September 1, 2005, the following obstetric panel procedure codes are Medi-Cal benefits for the Presumptive Eligibility (PE) Program:

CPT-4 Code Description
88147 Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision
88148 screening by automated system with manual rescreening under physician supervision

Claims for services provided to PE recipients that were previously denied for one of the procedure codes identified above will be automatically reprocessed.

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