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Claims for Miscellaneous Drugs and Medical Supplies Erroneously Denied

September 22, 2017

The Department of Health Care Services (DHCS) identified a claims processing issue causing claims billed with HCPCS code Z7610 (miscellaneous drugs and medical supplies) for dates of service on or after June 26, 2017, to erroneously deny with Remittance Advice Details Code 0362: Procedure number billed is not an authorized Medi-Cal procedure code.

The problem has been corrected and an Erroneous Payment Correction will be implemented to reprocess the affected claims.