1. Updated Policy for Palivizumab for the 2021–2022 RSV Season
Effective for dates of services on or after August 19, 2021, and continuing for the 2021–2022 respiratory syncytial virus (RSV) season only, county RSV positivity data for the time period reflecting the administered dose of Palivizumab (CPT® code 90378 [respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each]) is no longer required to be accompanied with a Treatment Authorization Request (TAR) for doses submitted outside the time period of a typical RSV season such as 2019–2020. Additional information can be found below.
|Chronic Dialysis Clinics
Clinics and Hospitals
|immun (62, 64)
2. Medi-Cal Rates Adjustment
Effective for dates of service on or after October 1, 2021, Medi-Cal rates have been adjusted to adhere to requirements mandated by the Centers for Medicare and Medicaid Services (CMS).
The updated Medi-Cal rates are available on the Medi-Cal Rates page.
3. ICD-10-CM Diagnosis Code Correction for Cystic Fibrosis
The ICD-10-CM diagnosis code for CPT code 81220 (CTFR [cystic fibrosis transmembrane conductance regulator] gene analysis; common variants [eg, ACMG/ACOG guidelines]) O09.00 thru O09.03 has been corrected to O09.00 thru O09.93.
|Clinics and Hospitals
|gene coun (4)
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The Medi-Cal Subscription Service (MCSS) is a free service that keeps you up-to-date on the latest Medi-Cal news. Subscribers receive subject-specific emails shortly after urgent announcements and other updates post on the Medi-Cal website.
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For more information about MCSS, please visit the MCSS Help page.
5. Provider Manual Revisions
Pages updated due to ongoing provider manual revisions:
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