Welcome to the Department of Health Care Services Welcome to Medi-Cal Welcome to the Department of Health Care Services

Medi-Cal Logo
Click to Sign Up for MCSS emails

Erroneously Denied Radiation Treatment Claims Will Be Reprocessed

May 17, 2017

The Department of Health Care Services (DHCS) has identified a claims processing issue for claims billed with radiation treatment CPT-4 codes 77385, 77386 and 77387. These claims were erroneously denied with Claim Control Number (CCN) prefix 711655 and Remittance Advice Details (RAD) code 0188: This is a “By Report” procedure. No report is attached or the attached report is insufficient to warrant payment.

No action is required of providers. Affected claims will be reprocessed with an Erroneous Payment Correction (EPC).