Can the Medi-Cal computer systems automatically “crosswalk” the local “99” codes on TARs/SARs for services on or after April 1, 2009 to HCPCS Level II codes?
No. Due to the “one-to-many” relationship between local codes and HCPCS Level II codes, the Medi-Cal claims processing system cannot automatically convert local codes to HCPCS Level II codes on TARs/SARs. This is an assumption that cannot be made from the perspective of a claim-processing system. Providers must determine which HCPCS Level II codes are appropriate for TARs/SARs.
Related Questions
- How will active Treatment Authorization Requests (TARs) and Service Authorization Requests (SARs) that have been issued with local codes for dates of service on or after April 1, 2009 be handled?
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- Will Medi-Cal field offices notify providers of existing TARs with local medical supply codes?
