Billing Beat

Update to EWC Diagnostic and Screening Mammography Benefits

November 27, 2017

Effective for dates of service on or after October 1, 2017, the following CPT codes are no longer reimbursable by the Every Woman Counts (EWC) program: 77055-77057. Effective for dates of service on or after October 1, 2017, the following CPT codes are reimbursable by the EWC program: 77065-77067. The Medi-Cal claims processing system is being updated to process claims with CPT codes 77065 – 77067. Once the system is ready, denied claims submitted for dates of service on or after October 1, 2017, will be subject to an Erroneous Payment Correction (EPC).

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