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EPSDT Psychology, Mental and Behavioral Health Code Conversion Billing Instructions

October 2, 2018

Early and Periodic Screening, Diagnostic and Treatment (EPSDT) psychology, mental and behavioral health HCPCS level III local codes Z5800, Z5814, Z5816 and Z5820 will be discontinued. Codes Z5814, Z5816 and Z5820 will be replaced by national HIPAA-compliant CPT Category I codes. The HIPAA-compliant CPT Category I codes will be required on EPSDT psychology, mental and behavioral health claims. Providers submitting UB-04 claim forms or ANSI 837I transactions must bill revenue codes in addition to the national procedure codes.

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

See the EPSDT Psychology, Mental and Behavioral Health Code Conversion Crosswalk for more information. Updated manual pages will be released in a future Medi-Cal Update.