The Health Insurance Portability and Accountability Act (HIPAA) mandated the standardization of internal (administrative) code sets and the use of standard service/procedure code sets for transactions. The Medi-Cal program is using a phased approach to convert its interim (local) codes to national values. To assist providers with this conversion, Medi-Cal has created correlation tables for the following code sets (implementation is based on dates of service as specified in the below documents):

CODE CORRELATION TABLES

Administrative Code Sets

• Condition Codes
• Delay Reason Codes
• Patient Status Codes
• Place of Service Codes
• Value Codes

Service/Procedure Code Sets

• Immunizations and Vaccines
• Immunization and Vaccine Rates Chart
• Inpatient Revenue Codes
• Orthotics and Prosthetics

276/277 Claim Status Request and Response Transaction

• Health Care Claim Status Codes

835 Transactions

• Remittance Advice Details (RAD) Electronic Correlation Table to National Codes: 001 – 099
• Remittance Advice Details (RAD) Electronic Correlation Table to National Codes: 100 – 199
• Remittance Advice Details (RAD) Electronic Correlation Table to National Codes: 200 – 299
• Remittance Advice Details (RAD) Electronic Correlation Table to National Codes: 300 – 399
• Remittance Advice Details (RAD) Electronic Correlation Table to National Codes: 400 – 499
• Remittance Advice Details (RAD) Electronic Correlation Table to National Codes: 500 – 599
• Remittance Advice Details (RAD) Electronic Correlation Table to National Codes: 600 – 699
• Remittance Advice Details (RAD) Electronic Correlation Table to National Codes: 700 – 799
• Remittance Advice Details (RAD) Electronic Correlation Table to National Codes: 800 – 899
• Remittance Advice Details (RAD) Electronic Correlation Table to National Codes: 9000 – 9099
• Remittance Advice Details (RAD) Electronic Correlation Table to National Codes: 9100 – 9199
• Remittance Advice Details (RAD) Electronic Correlation Table to National Codes: 9200 – 9299
• Remittance Advice Details (RAD) Electronic Correlation Table to National Codes: 9500 – 9599
• Remittance Advice Details (RAD) Electronic Correlation Table to National Codes: 9600 – 9699
• Remittance Advice Details (RAD) Electronic Correlation Table to National Codes: HCRC to RAD
  
  
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