Frequency Restriction for Obstetric Panel

Effective for dates of service on or after September 01, 2006, reimbursement of CPT-4 code 80055 (obstetric panel) is restricted to once in nine months for the same provider. The provider may be reimbursed for a second or subsequent obstetric panel within the nine-month period if there is documentation to justify medical necessity or documentation of a different pregnancy.

Published by XIFIN
INDUSTRY NEWS TAGS: California Medi-Cal

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