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Claims Processing Issue for HCPCS Code S0199

March 4, 2016

The Department of Health Care Services (DHCS) has identified a claims processing issue causing claims billed for pre- and post-implementation dates for ICD-10, for HCPCS code S0199 (medically induced abortion by oral ingestion of medication including all associated services and supplies except drugs) to erroneously receive a Resubmission Turnaround Document (RTD) and/or deny.

DHCS is working to correct this issue and will post an update to the Medi-Cal website when the issue is resolved.

Providers should continue to submit claims while this issue is being resolved. Providers are encouraged to check the Medi-Cal website regularly for updates regarding this issue.