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Family PACT Adds CPT-4 Code 87389 as Benefit

May 26, 2016

Effective for dates of service on or after July 1, 2016, CPT-4 code 87389 (HIV-1 antigen[s], with HIV-1 and HIV-2 antibodies, single result) is a Family Planning, Access, Care and Treatment (Family PACT) Program benefit. CPT-4 code 87389 is reimbursable for females and males with any of the ICD-10-CM diagnosis codes that identify the contraceptive method for which a client is seen, as listed in the Family PACT Policies, Procedures and Billing Instructions manual: Z30.011, Z30.013, Z30.018, Z30.019, Z30.02, Z30.40, Z30.41, Z30.42, Z30.430, Z30.431, Z30.432, Z30.433, Z30.49, Z30.8, Z30.9, Z98.51, Z98.52.

Family PACT follows Medi-Cal policy on frequency limits for laboratory services. These limits are set per recipient, per service, per month via the Laboratory Services Reservation System (LSRS). For more information, providers may refer to the Laboratory Services section of the Family PACT Policies, Procedures and Billing Instructions manual and the Pathology: An Overview of Enrollment and Proficiency Testing Requirements section in the appropriate Part 2 Medi-Cal provider manual.