How will the Medi-Cal frequency limits be altered with HCPCS Level II codes?
Frequency limitations have already been established for the HCPCS Level II codes. Some changes may occur secondary to the HCPCS Level II codes because they are occasionally not as specific as the local “99” codes. Most frequency limitations were established through contracts with the manufacturers that were completed in 2008. Most of the changes to frequency limitations were already published in the appropriate provider manuals for each HCPCS Level II code.
Related Questions
- When the provider determines what HCPCS Level II code will replace the local code on an existing TAR/SAR, will the field office accept the HCPCS Level II code listed on the new TAR/SAR without further documentation?
- If a provider enters the HCPCS Level I, II or III code, units and/or NDC correctly, but does not enter the unit of measurement correctly, will that line item be denied?
- How will the Medi-Cal frequency limits be altered with HCPCS Level II codes?
