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Code Conversion for Audiology, EPSDT Audiology and Speech Therapy Reminder

September 20, 2018

The Audiology, Early and Periodic Screening, Diagnostic 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 CPT Category I or HCPCS Level II national codes. HIPAA mandated these changes to billing requirements for Audiology, EPSDT Audiology and Speech Therapy providers.

The effective date for this code conversion will be announced at a future date.

Providers will use a combination of revenue codes, revenue codes and CPT or HCPCS codes, or revenue codes and CPT 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 bulletins and complete the Medi-Cal Subscription Service (MCSS) Form to receive email notifications for newly published Medi-Cal Update bulletins, Newsflash articles and/or System Status Alerts.

For additional information, providers may:

  • Visit the Audiology/EPSDT Audiology/Speech Therapy section located on the HIPAA: Code Conversions webpage.
  • Request additional onsite or telephone support via the Telephone Service Center (TSC) at 1-800-541-5555, from 8 a.m. to 5 p.m., Monday through Friday, except holidays. Border Providers and Out-of-State Billers billing for In-State Providers call (916) 636-1200. Providers calling from outside of California call the Out of-State Provider Unit at (916) 636-1960 from 8 a.m. to 12 p.m. Monday through Friday, except holidays.
  • Contact the Computer Media Claims (CMC) Help Desk for electronic claim submission questions by calling the TSC at 1-800-541-5555 and select the option Point of Service (POS), Internet, Lab Service Reservation System (LSRS) and CMC inquiries.

All other questions for the Audiology, EPSDT Audiology and Speech Therapy Code Conversion may be submitted via email to CAMMISCodeConversion@conduent.com.