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EPSDT Code Conversion: Policy Update for Lead Investigation

August 21, 2018

Effective for dates of service on or after September 1, 2018, HCPCS Level III local Early and Periodic Screening, Diagnostic and Treatment (EPSDT) code Z5830 will be terminated and replaced with a HIPAA-compliant national HCPCS Level II code T1029 as shown in the crosswalk below. This conversion will also include the use of the EP modifier to indicate EPSDT services.

Local Code –
Description
National Revenue
Code – Description
National Procedure
Code – Description
National Modifier –
Description
Z5830 – Onsite investigation to detect source of lead contamination rendered by local health department or comprehensive environment agencies. 0969 – Professional fees, other T1029 – Comprehensive environmental lead investigation, not including laboratory analysis, per dwelling EP – Service provided as part of a Medicaid early and periodic screening diagnostic and treatment (EPSDT).

Information regarding this code conversion was published in the Part 2 provider manual on August 20, 2018.