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Notice of Code Conversion for Audiology/EPSDT Audiology and Speech Therapy

March 16, 2018

The Audiology/Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Audiology and Speech Therapy code conversion replaces non-HIPAA-compliant HCPCS Level III codes, commonly referred to as local codes, with HIPAA-compliant Current Procedural Terminology – 4th Edition (CPT-4) Level I or HCPCS Level II national codes. HIPAA mandated these changes to billing requirements for Audiology/EPSDT Audiology and Speech Therapy providers.

For claims with dates of service on or after the policy effective date of January 1, 2019, providers will use a combination of revenue codes, revenue codes and CPT-4 or HCPCS codes, or revenue codes and CPT-4 or HCPCS codes with a modifier.

Crosswalks and Frequently Asked Questions (FAQs) will be available soon and additional information for this project will publish as details are determined. Providers are encouraged to routinely check the Medi-Cal Update provider bulletins and complete the MCSS Subscriber Form to receive email notifications for newly published Medi-Cal Update bulletins, Newsflash articles and/or System Status Alerts.