Part 2 - General Medicine (GM)

Medi-Cal Program (00medi-cal) (Revision Date Apr 16, 2021) |95KB)
How to Use This Manual (0B hw to use) (Revision Date Feb 16, 2022) |392KB)
Abortions (abort) (Revision Date Oct 15, 2021) |125KB)
Allergy Testing and Desensitization (allergy) (Revision Date Aug 18, 2020) |171KB)
Alternative Birthing Centers (altern) (Revision Date Jan 14, 2022) |131KB)
Anesthesia (anest) (Revision Date Dec 16, 2021) |268KB)
Anesthesia Billing Examples: CMS-1500 (anest cms) (Revision Date Aug 31, 2020) |272KB)
Appeal Form Completion (appeal form) (Revision Date May 16, 2022) |632KB)
Blood and Blood Derivatives (blood) (Revision Date Jun 16, 2022) |291KB)
CCS Program Billing Guidelines (cal child bil guide) (Revision Date Jun 16, 2022) |77KB)
Cardiology (cardio) (Revision Date Dec 16, 2021) |306KB)
Cardiology Billing Examples: CMS-1500 (cardio bil cms) (Revision Date Aug 18, 2020) |845KB)
Chemotherapy: An Overview (chemo an over) (Revision Date Dec 31, 2021) |163KB)
Chemotherapy: Drugs A-D Policy (chemo drug a-d) (Revision Date Jun 16, 2022) |337KB)
Chemotherapy: Drugs E-O Policy (chemo drug e-o) (Revision Date Jun 16, 2022) |401KB)
Chemotherapy: Drugs P-Z Policy (chemo drug p-z) (Revision Date May 16, 2022) |442KB)
CIF Completion (cif co) (Revision Date May 16, 2022) |710KB)
CIF Special Billing Instructions (cif sp) (Revision Date Dec 31, 2021) |623KB)
CIF Submission and Timeliness Instructions (cif sub) (Revision Date Oct 16, 2020) |177KB)
CMS-1500 Completion (cms comp) (Revision Date May 16, 2022) |843KB)
CMS-1500 Special Billing Instructions (cms spec) (Revision Date Oct 16, 2020) |212KB)
CMS-1500 Tips for Billing (cms tips) (Revision Date Oct 16, 2020) |165KB)
Correct Coding Initiative: National (correct) (Revision Date Jun 16, 2022) |159KB)
Dental Benefits (dental) (Revision Date Aug 18, 2020) |93KB)
Medi-Cal Dental Program (denti) (Revision Date May 14, 2021) |111KB)
Diabetes Prevention Program (diabetes) (Revision Date Mar 16, 2022) |181KB)
Dialysis: End Stage Renal Disease Services (dial end) (Revision Date Apr 15, 2022) |146KB)
Dialysis Example: CMS-1500 (dial ex cms) (Revision Date Aug 18, 2020) |492KB)
End of Life Option Act Services (eloa) (Revision Date Aug 18, 2020) |247KB)
EPSDT (epsdt) (Revision Date Jun 16, 2022) |138KB)
EPSDT/CHDP (epsdt chdp) (Revision Date Sep 16, 2020) |298KB)
EPSDT/CHDP: Gateway (epsdt chdp gate) (Revision Date May 16, 2022) |167KB)
EPSDT/CHDP: School-Based Services (epsdt chdp school) (Revision Date Jun 16, 2022) |164KB)
Evaluation & Management (E&M) (eval) (Revision Date Jun 16, 2022) |438KB)
Every Woman Counts (ev woman) (Revision Date Jun 16, 2022) |726KB)
Family Planning (fam planning) (Revision Date Apr 15, 2022) |419KB)
Forms: Legibility and Completion Standards (forms leg) (Revision Date Oct 16, 2020) |129KB)
Forms Reorder Request: Guidelines (forms reo) (Revision Date Dec 31, 2021) |107KB)
Genetic Counseling and Screening (gene coun) (Revision Date Oct 15, 2021) |162KB)
Genetic Screening Billing Examples: CMS-1500 (gene ex) (Revision Date Sep 16, 2020) |529KB)
HCPCS Introduction (hcpcs) (Revision Date Aug 14, 2020) |114KB)
Heroin Detoxification (heroin) (Revision Date Aug 14, 2020) |112KB)
Hospice Care (hospic) (Revision Date Aug 14, 2020) |167KB)
Hysterectomy (hyst) (Revision Date Dec 16, 2021) |196KB)
Immunizations (immun) (Revision Date Jun 16, 2022) |516KB)
Immunizations Code List (immun cd) (Revision Date Jun 16, 2022) |126KB)
Incontinence Medical Supplies (incont) (Revision Date Apr 29, 2022) |229KB)
Injections: An Overview (inject an over) (Revision Date Aug 31, 2020) |135KB)
Injections: Code List (inject cd list) (Revision Date Jun 16, 2022) |427KB)
Injections: Drugs A-D Policy (inject drug a-d) (Revision Date Jun 16, 2022) |549KB)
Injections: Drugs E-H Policy (inject drug e-h) (Revision Date May 16, 2022) |638KB)
Injections: Drugs I-M Policy (inject drug i-m) (Revision Date Dec 16, 2021) |380KB)
Injections: Drugs N-R Policy (inject drug n-r) (Revision Date May 16, 2022) |444KB)
Injections: Drugs S-Z Policy (inject drug s-z) (Revision Date May 16, 2022) |287KB)
Injections: Hydration (inject hydra) (Revision Date Aug 31, 2020) |118KB)
Medicine (medne) (Revision Date Jun 16, 2022) |244KB)
Medicine: Neurology and Neuromuscular (medne neu) (Revision Date Dec 16, 2021) |214KB)
Medicine: Otorhinolaryngologic Services (medne oto) (Revision Date Feb 17, 2021) |133KB)
Medicine: Pulmonary (medne pul) (Revision Date Dec 16, 2020) |132KB)
Medicine: Telehealth (medne tele) (Revision Date May 16, 2022) |173KB)
Minor Consent Program (minor) (Revision Date Aug 14, 2020) |134KB)
Modifiers (modif) (Revision Date Mar 16, 2021) |158KB)
Modifiers: Approved List (modif app) (Revision Date Jun 16, 2022) |339KB)
Modifiers Used with Procedure Codes (modif used) (Revision Date Jun 16, 2022) |260KB)
Newborn Hearing Screening Program (newborn) (Revision Date Aug 14, 2020) |117KB)
Non-Injectable Drugs (non inject) (Revision Date Apr 15, 2022) |258KB)
Non-Physician Medical Practitioners (NMP) (non ph) (Revision Date Jun 16, 2022) |302KB)
Once-in-a-Lifetime Procedure Codes (once) (Revision Date Dec 16, 2021) |175KB)
Ophthalmology (ophthal) (Revision Date Apr 15, 2022) |309KB)
Ophthalmology: Diagnosis Codes (ophthal cd) (Revision Date Aug 14, 2020) |153KB)
Osteopathic Manipulative Treatment (osteo) (Revision Date Aug 31, 2020) |120KB)
Other Health Coverage (OHC) (oth hlth) (Revision Date Dec 31, 2021) |93KB)
Pathology: Billing and Modifiers (path bil) (Revision Date May 16, 2022) |300KB)
Pathology Billing Example: CMS-1500 (path bil cms) (Revision Date Aug 31, 2020) |187KB)
Pathology: Blood Collection and Handling (path blood) (Revision Date Sep 16, 2020) |120KB)
Pathology: Chemistry (path chem) (Revision Date Dec 16, 2021) |175KB)
Pathology: Cytopathology (path cyto) (Revision Date Aug 31, 2020) |134KB)
Pathology: Drug Testing (path drug) (Revision Date Aug 31, 2020) |137KB)
Pathology: Immunology (path immun) (Revision Date Dec 16, 2021) |122KB)
Pathology: Microbiology (path micro) (Revision Date Mar 16, 2022) |215KB)
Pathology: Molecular Pathology (path molec) (Revision Date Jun 16, 2022) |683KB)
Pathology: Surgical (path surg) (Revision Date Mar 16, 2022) |134KB)
Pathology: Urinalysis (path urin) (Revision Date Aug 31, 2020) |94KB)
Physician-Administered Drugs – NDC (physician ndc) (Revision Date Dec 31, 2021) |150KB)
Podiatry Services (podi) (Revision Date Jun 16, 2022) |146KB)
Pregnancy Determination (preg determ) (Revision Date Dec 16, 2020) |109KB)
Pregnancy Examples: CMS-1500 (preg ex cms) (Revision Date May 16, 2022) |1431KB)
Pregnancy: Global Billing (preg glo) (Revision Date Dec 16, 2020) |135KB)
Pregnancy: Global Billing Codes (preg glo cd) (Revision Date Aug 31, 2020) |97KB)
Pregnancy: Per Visit Billing (preg per) (Revision Date May 16, 2022) |113KB)
Pregnancy: Per-Visit Billing Codes (preg per cd) (Revision Date Aug 31, 2020) |109KB)
Pregnancy: Share of Cost (preg share) (Revision Date Aug 31, 2020) |89KB)
Prescription Referrals (prescript) (Revision Date Aug 31, 2020) |137KB)
Prescription Referrals: Vision Care (prescript vc) (Revision Date Aug 31, 2020) |106KB)
Presumptive Eligibility for Pregnant Women (presum) (Revision Date May 16, 2022) |159KB)
Preventive Services (prev) (Revision Date Jun 16, 2022) |239KB)
Proprietary Laboratory Analyses (PLA) (prop lab) (Revision Date Jun 16, 2022) |367KB)
Radiology (radi) (Revision Date May 16, 2022) |152KB)
Radiology Billing Examples: CMS-1500 (radi bil cms) (Revision Date Aug 31, 2020) |474KB)
Radiology: Diagnostic (radi dia) (Revision Date Jun 16, 2022) |367KB)
Radiology: Diagnostic Ultrasound (radi dia ult) (Revision Date Aug 31, 2020) |129KB)
Radiology: Nuclear Medicine (radi nuc) (Revision Date Dec 16, 2021) |159KB)
Radiology: Oncology (radi onc) (Revision Date Feb 16, 2022) |198KB)
Rates: Maximum Reimbursement (rates max) (Revision Date Dec 16, 2020) |184KB)
Remittance Advice Details (RAD) (remit adv) (Revision Date May 16, 2022) |131KB)
Respiratory Care (respir) (Revision Date Dec 16, 2021) |190KB)
Share of Cost (SOC): CMS-1500 (share cms) (Revision Date Dec 31, 2021) |823KB)
Sign Language Interpretation (sign) (Revision Date Aug 31, 2020) |136KB)
Sterilization (ster) (Revision Date Aug 31, 2020) |1269KB)
Subacute Care Programs: Adult (subacut adu) (Revision Date Aug 31, 2020) |134KB)
Subacute Care Programs: Billing Codes (subacut code) (Revision Date Aug 31, 2020) |102KB)
Subacute Care Programs: Pediatric (subacut ped) (Revision Date Aug 31, 2020) |136KB)
Supplies and Drugs (supp drug) (Revision Date Aug 31, 2020) |116KB)
Supplies and Drugs for Medical Services (supp drug ms) (Revision Date Aug 31, 2020) |101KB)
Surgery (surg) (Revision Date May 16, 2022) |177KB)
Surgery: Auditory System (surg aud) (Revision Date Dec 16, 2020) |138KB)
Surgery Billing Examples: CMS-1500 (surg bil cms) (Revision Date Aug 31, 2020) |898KB)
Surgery: Billing With Modifiers (surg bil mod) (Revision Date May 16, 2022) |165KB)
Surgery: Cardiovascular System (surg cardio) (Revision Date Apr 15, 2022) |193KB)
Surgery: Digestive System (surg digest) (Revision Date Oct 15, 2020) |168KB)
Surgery: Eye and Ocular Adnexa (surg eye) (Revision Date Dec 16, 2021) |208KB)
Surgery: Female Genital System (surg female) (Revision Date May 16, 2022) |120KB)
Surgery: Integumentary System (surg integ) (Revision Date Apr 15, 2022) |146KB)
Surgery: Laparoscopy and Hysteroscopy (surg lap) (Revision Date May 16, 2022) |95KB)
Surgery: Male Genital System (surg male) (Revision Date May 16, 2022) |107KB)
Surgery: Musculoskeletal System (surg muscu) (Revision Date Apr 15, 2022) |208KB)
Surgery: Nervous System (surg nerv) (Revision Date Dec 16, 2021) |228KB)
Surgery: Urinary System (surg urin) (Revision Date May 16, 2022) |175KB)
TAR Completion (tar comp) (Revision Date Jun 16, 2022) |398KB)
TAR Deferral/Denial Policy (Frank v. Kizer) (tar defer) (Revision Date Dec 31, 2021) |1563KB)
TAR Field Office Addresses (tar field) (Revision Date Dec 31, 2021) |357KB)
TAR Submission: Transmittal Form (tar submis) (Revision Date Aug 31, 2020) |220KB)
TAR: Submitting Appeals (tar submit) (Revision Date Sep 28, 2020) |114KB)
Transgender and Gender Diverse Services (transgender) (Revision Date May 16, 2022) |117KB)
Transplants (transplant) (Revision Date Oct 15, 2021) |214KB)
Tuberculosis Program (tuber) (Revision Date Aug 31, 2020) |126KB)
Vaccines For Children (VFC) Program (vaccine) (Revision Date Feb 16, 2022) |237KB)


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