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Radiology Claims Erroneously Denied with RAD Code 0090

September 7, 2018

The Department of Health Care Services (DHCS) has identified a claims processing issue causing radiology services added under the 2018 CPT-4 Annual Update to be denied with Remittance Advice Details (RAD) Code 0090: The combination of procedure code and modifier is not valid on the dates of service billed. The issue affects claims for dates of service on or after February 1, 2018. The affected codes are as follows:

  • 71045
  • 71046
  • 71047
  • 71048
  • 74018
  • 74019
  • 74021

DHCS and the DHCS Fiscal Intermediary (FI) are working to resolve this issue. Providers should continue to submit claims in a timely manner and are encouraged to check the Medi-Cal website regularly for updates regarding this issue.