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Amended Billing Structure for California Community Transitions Code

May 23, 2018

Effective retroactively for dates of service on or after August 24, 2015, the billing structure has been amended for a California Community Transitions (CCT) code G9012 (other specified case management service not elsewhere classified) with modifier U6. Code G9012 with modifier U6 is billed in one-hour increments, with a rate of $45.43 per billing increment.

From June 25, 2018, through October 23, 2018, providers may resubmit affected claims with dates of service on or after May 1, 2016. An Erroneous Payment Correction (EPC) will be initiated to reprocess any claims that were incorrectly paid.