Part 2 - Clinics and Hospitals (CAH)



Abortions (abort) (Revision Date May 29, 2020) | (115KB)
Allergy Testing and Desensitization (allergy) (Revision Date May 29, 2020) | (90KB)
Alternative Birthing Centers (altern) (Revision Date May 29, 2020) | (116KB)
Anesthesia (anest) (Revision Date May 29, 2020) | (176KB)
Anesthesia Billing Examples: UB-04 (anest ub) (Revision Date May 29, 2020) | (366KB)
Appeal Form Completion (appeal form) (Revision Date May 29, 2020) | (792KB)
Blood and Blood Derivatives (blood) (Revision Date Jun 30, 2020) | (192KB)
California Children's Services (CCS) Program (cal child) (Revision Date May 29, 2020) | (298KB)
CCS Program Billing Guidelines (cal child bil guide) (Revision Date May 29, 2020) | (68KB)
Cardiology (cardio) (Revision Date May 29, 2020) | (218KB)
Cardiology Billing Example: UB-04 (cardio bil ub) (Revision Date May 29, 2020) | (286KB)
Chemotherapy: An Overview (chemo an over) (Revision Date May 29, 2020) | (108KB)
Chemotherapy: Drugs A-D Policy (chemo drug a-d) (Revision Date May 29, 2020) | (229KB)
Chemotherapy: Drugs E-O Policy (chemo drug e-o) (Revision Date May 29, 2020) | (183KB)
Chemotherapy: Drugs P-Z Policy (chemo drug p-z) (Revision Date May 29, 2020) | (247KB)
CIF Completion (cif co) (Revision Date May 29, 2020) | (813KB)
CIF Submission and Timeliness Instructions (cif sub) (Revision Date May 29, 2020) | (138KB)
Contracted and Non-Contracted Inpatient Services (cont ip) (Revision Date May 29, 2020) | (330KB)
Correct Coding Initiative: National (correct) (Revision Date Jul 16, 2020) | (101KB)
Dental Benefits (dental) (Revision Date May 29, 2020) | (50KB)
Denti-Cal Program (denti) (Revision Date May 29, 2020) | (56KB)
Diabetes Prevention Program (diabetes) (Revision Date May 29, 2020) | (166KB)
Dialysis: Chronic Dialysis Services (dial chr) (Revision Date May 29, 2020) | (126KB)
Dialysis: End Stage Renal Disease Services (dial end) (Revision Date May 29, 2020) | (122KB)
Dialysis Examples: UB-04 (dial ex ub) (Revision Date May 29, 2020) | (278KB)
Distinct-Part Long Term Care Facilities (distinct) (Revision Date May 29, 2020) | (17KB)
Drug Use Review (DUR) Program (drug) (Revision Date May 29, 2020) | (136KB)
End of Life Option Act Services (eloa) (Revision Date May 29, 2020) | (216KB)
EPSDT (epsdt) (Revision Date May 29, 2020) | (153KB)
EPSDT/CHDP (epsdt chdp) (Revision Date May 29, 2020) | (238KB)
EPSDT/CHDP: Gateway (epsdt chdp gate) (Revision Date May 29, 2020) | (130KB)
EPSDT/CHDP: School-Based Services (epsdt chdp school) (Revision Date Jul 16, 2020) | (157KB)
Evaluation & Management (E&M) (eval) (Revision Date Jun 16, 2020) | (309KB)
Every Woman Counts (ev woman) (Revision Date Jul 16, 2020) | (801KB)
Every Woman Counts Billing Examples: UB-04 (ev woman exub) (Revision Date May 29, 2020) | (124KB)
Family Planning (fam planning) (Revision Date May 29, 2020) | (343KB)
Family Planning Billing Example: UB-04 (fam planning ub) (Revision Date May 29, 2020) | (384KB)
Forms: Legibility and Completion Standards (forms leg) (Revision Date May 29, 2020) | (99KB)
Forms Reorder Request: Guidelines (forms reo) (Revision Date May 29, 2020) | (86KB)
Genetic Counseling and Screening (gene coun) (Revision Date Jun 16, 2020) | (102KB)
Genetically Handicapped Persons Program (GHPP) (genetic) (Revision Date May 29, 2020) | (225KB)
HCPCS Introduction (hcpcs) (Revision Date May 29, 2020) | (79KB)
Heroin Detoxification (heroin) (Revision Date May 29, 2020) | (23KB)
Heroin Detoxification Billing Codes (heroin cd) (Revision Date May 29, 2020) | (69KB)
Hoptel Services (hoptel) (Revision Date May 29, 2020) | (8KB)
Hospice Care (hospic) (Revision Date May 29, 2020) | (114KB)
Hysterectomy (hyst) (Revision Date May 29, 2020) | (128KB)
Immunizations (immun) (Revision Date Jun 16, 2020) | (214KB)
Immunizations Code List (immun cd) (Revision Date Jun 16, 2020) | (69KB)
Incontinence Medical Supplies (incont) (Revision Date May 29, 2020) | (170KB)
Injections: An Overview (inject an over) (Revision Date May 29, 2020) | (127KB)
Injections: Billing Example for UB-04 (inject bil ub) (Revision Date May 29, 2020) | (183KB)
Injections: Code List (inject cd list) (Revision Date Jun 16, 2020) | (262KB)
Injections: Drugs A-D Policy (inject drug a-d) (Revision Date Jun 16, 2020) | (386KB)
Injections: Drugs E-H Policy (inject drug e-h) (Revision Date Jul 16, 2020) | (397KB)
Injections: Drugs I-M Policy (inject drug i-m) (Revision Date Jul 16, 2020) | (296KB)
Injections: Drugs N-R Policy (inject drug n-r) (Revision Date May 29, 2020) | (278KB)
Injections: Drugs S-Z Policy (inject drug s-z) (Revision Date Jun 16, 2020) | (270KB)
Injections: Hydration (inject hydra) (Revision Date May 29, 2020) | (109KB)
Medicare Non-Covered Services: CPT® Codes (medi non cpt) (Revision Date May 29, 2020) | (78KB)
Medicare Non-Covered Services: HCPCS Codes (medi non hcp) (Revision Date May 29, 2020) | (87KB)
Medicine (medne) (Revision Date May 29, 2020) | (180KB)
Medicine: Neurology and Neuromuscular (medne neu) (Revision Date May 29, 2020) | (129KB)
Medicine: Otorhinolaryngologic Services (medne oto) (Revision Date May 29, 2020) | (91KB)
Medicine: Pulmonary (medne pul) (Revision Date May 29, 2020) | (91KB)
Medicine: Telehealth (medne tele) (Revision Date Jul 16, 2020) | (155KB)
Minor Consent Program (minor) (Revision Date May 29, 2020) | (138KB)
Modifiers (modif) (Revision Date May 29, 2020) | (81KB)
Modifiers: Approved List (modif app) (Revision Date Jul 16, 2020) | (295KB)
Modifiers Used With Procedure Codes (modif used) (Revision Date Jul 16, 2020) | (178KB)
Newborn Hearing Screening Program (newborn) (Revision Date May 29, 2020) | (84KB)
Non-Injectable Drugs (non inject) (Revision Date May 29, 2020) | (175KB)
Non-Physician Medical Practitioners (NMP) (non ph) (Revision Date Jul 16, 2020) | (302KB)
Once-in-a-Lifetime Procedure Codes (once) (Revision Date May 29, 2020) | (97KB)
Ophthalmology (ophthal) (Revision Date May 29, 2020) | (244KB)
Ophthalmology: Diagnosis Codes (ophthal cd) (Revision Date May 29, 2020) | (153KB)
Osteopathic Manipulative Treatment (osteo) (Revision Date May 29, 2020) | (113KB)
Other Health Coverage (OHC) (oth hlth) (Revision Date May 29, 2020) | (137KB)
Pathology: Billing and Modifiers (path bil) (Revision Date Jun 16, 2020) | (157KB)
Pathology Billing Examples: UB-04 (path bil ub) (Revision Date May 29, 2020) | (271KB)
Pathology: Blood Collection and Handling (path blood) (Revision Date May 29, 2020) | (117KB)
Pathology: Chemistry (path chem) (Revision Date May 29, 2020) | (190KB)
Pathology: Cytopathology (path cyto) (Revision Date May 29, 2020) | (126KB)
Pathology: Drug Testing (path drug) (Revision Date May 29, 2020) | (126KB)
Pathology: Immunology (path immun) (Revision Date May 29, 2020) | (81KB)
Pathology: Microbiology (path micro) (Revision Date Jun 16, 2020) | (171KB)
Pathology: Molecular Pathology (path molec) (Revision Date Jul 16, 2020) | (588KB)
Pathology: Organ or Disease-Oriented Panels (path organ) (Revision Date May 29, 2020) | (122KB)
Pathology: Surgical (path surg) (Revision Date May 29, 2020) | (89KB)
Pathology: Urinalysis (path urin) (Revision Date May 29, 2020) | (72KB)
Physician-Administered Drugs: NDC (physician ndc) (Revision Date Jul 16, 2020) | (136KB)
Podiatry Services (podi) (Revision Date May 29, 2020) | (110KB)
Podiatry Services Billing Example: UB-04 (podi ub) (Revision Date May 29, 2020) | (126KB)
Pregnancy Determination (preg determ) (Revision Date May 29, 2020) | (55KB)
Pregnancy: Early Care and Diagnostic Services (preg early) (Revision Date May 29, 2020) | (157KB)
Pregnancy Examples: UB-04 (preg ex ub) (Revision Date May 29, 2020) | (784KB)
Pregnancy: Global Billing (preg glo) (Revision Date May 29, 2020) | (80KB)
Pregnancy: Global Billing Codes (preg glo cd) (Revision Date May 29, 2020) | (84KB)
Pregnancy: Per-Visit Billing (preg per) (Revision Date May 29, 2020) | (64KB)
Pregnancy: Per-Visit Billing Codes (preg per cd) (Revision Date May 29, 2020) | (61KB)
Pregnancy: Share of Cost (preg share) (Revision Date May 29, 2020) | (51KB)
Prescription Referrals (prescript) (Revision Date May 29, 2020) | (104KB)
Prescription Referrals: Vision Care (prescript vc) (Revision Date May 29, 2020) | (17KB)
Presumptive Eligibility for Pregnant Women (presum) (Revision Date May 29, 2020) | (95KB)
Preventive Services (prev) (Revision Date Jun 16, 2020) | (223KB)
Psychiatry (psych) (Revision Date May 29, 2020) | (117KB)
Radiology (radi) (Revision Date May 29, 2020) | (149KB)
Radiology Billing Example: UB-04 (radi bil ub) (Revision Date May 29, 2020) | (261KB)
Radiology: Diagnostic (radi dia) (Revision Date May 29, 2020) | (266KB)
Radiology: Diagnostic Ultrasound (radi dia ult) (Revision Date May 29, 2020) | (125KB)
Radiology: Nuclear Medicine (radi nuc) (Revision Date May 29, 2020) | (111KB)
Radiology: Oncology (radi onc) (Revision Date May 29, 2020) | (146KB)
Rates: Maximum Reimbursement (rates max) (Revision Date May 29, 2020) | (157KB)
Remittance Advice Details (RAD) (remit adv) (Revision Date May 29, 2020) | (141KB)
Respiratory Care (respir) (Revision Date May 29, 2020) | (142KB)
Sign Language Interpretation (sign) (Revision Date May 29, 2020) | (200KB)
Specialty Mental Health Services (spec) (Revision Date May 29, 2020) | (142KB)
Sterilization (ster) (Revision Date May 29, 2020) | (1508KB)
Subacute Care Programs: Adult (subacut adu) (Revision Date May 29, 2020) | (106KB)
Subacute Care Programs: Billing Codes (subacut code) (Revision Date May 29, 2020) | (82KB)
Subacute Care Programs: Pediatric (subacut ped) (Revision Date May 29, 2020) | (114KB)
Supplies and Drugs (supp drug) (Revision Date May 29, 2020) | (112KB)
Supplies and Drugs Billing Examples: UB-04 (supp drug bil) (Revision Date May 29, 2020) | (147KB)
Supplies and Drugs for Outpatient Services (supp drug op) (Revision Date May 29, 2020) | (111KB)
Surgery (surg) (Revision Date May 29, 2020) | (110KB)
Surgery: Auditory System (surg aud) (Revision Date May 29, 2020) | (92KB)
Surgery Billing Examples: UB-04 (surg bill ub) (Revision Date May 29, 2020) | (852KB)
Surgery: Billing With Modifiers (surg bil mod) (Revision Date May 29, 2020) | (111KB)
Surgery: Cardiovascular System (surg cardio) (Revision Date May 29, 2020) | (132KB)
Surgery: Digestive System (surg digest) (Revision Date May 29, 2020) | (126KB)
Surgery: Eye and Ocular Adnexa (surg eye) (Revision Date May 29, 2020) | (197KB)
Surgery: Female Genital System (surg female) (Revision Date May 29, 2020) | (74KB)
Surgery: Integumentary System (surg integ) (Revision Date May 29, 2020) | (128KB)
Surgery: Laparoscopy and Hysteroscopy (surg lap) (Revision Date May 29, 2020) | (53KB)
Surgery: Male Genital System (surg male) (Revision Date May 29, 2020) | (62KB)
Surgery: Musculoskeletal System (surg muscu) (Revision Date May 29, 2020) | (147KB)
Surgery: Nervous System (surg nerv) (Revision Date May 29, 2020) | (141KB)
Surgery: Room Reimbursement (surg room) (Revision Date May 29, 2020) | (11KB)
Surgery: Urinary System (surg urin) (Revision Date May 29, 2020) | (94KB)
TAR and Non-Benefit: Introduction to List (tar and non) (Revision Date May 29, 2020) | (94KB)
TAR Completion (tar comp) (Revision Date May 29, 2020) | (288KB)
TAR Deferral/Denial Policy (Frank v. Kizer) (tar defer) (Revision Date May 29, 2020) | (479KB)
TAR Field Office Addresses (tar field) (Revision Date May 29, 2020) | (260KB)
TAR Submission: Transmittal Form (tar submis) (Revision Date May 29, 2020) | (258KB)
TAR: Submitting Appeals (tar submit) (Revision Date May 29, 2020) | (86KB)
Transgender Services (transgender) (Revision Date May 29, 2020) | (71KB)
Transplants (transplant) (Revision Date May 29, 2020) | (192KB)
Tuberculosis Program (tuber) (Revision Date May 29, 2020) | (90KB)
UB-04 Completion: Outpatient Services (ub comp op) (Revision Date May 29, 2020) | (330KB)
UB-04 Submission and Timeliness Instructions (ub sub) (Revision Date May 29, 2020) | (160KB)
UB-04 Tips for Billing: Outpatient Services (ub tips op) (Revision Date May 29, 2020) | (130KB)
Vaccines For Children (VFC) Program (vaccine) (Revision Date Jul 16, 2020) | (252KB)


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