EPSDT Services Code Conversion Notice of Implementation

October 12, 2018

The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) services code conversion, initially announced in the July 2018 Medi-Cal Update, implemented on September 1, 2018.

Effective for dates of service on or after September 1, 2018, the EPSDT services code conversion replaced non-HIPAA-compliant HCPCS Level III codes, commonly referred to as local codes, with HIPAA-compliant HCPCS Level II national codes. It also introduced the use of the EP modifier to distinguish claims for EPSDT related services.

The following resources for the EPSDT services code conversion are located on the HIPAA: Code Conversions page under the EPSDT Services dropdown:

For additional information, providers are encouraged to:

  • Routinely check the Medi-Cal Update provider bulletins
  • Request a monthly email notification for newly published Medi-Cal Update provider bulletins by completing the MCSS Subscriber Form

Submit additional questions via email to CAMMISCodeConversion@conduent.com