Claims Submitted for Telehealth Services Erroneously Denying for RAD Code 0225

June 17, 2020

Select claims submitted for services provided via telehealth and billed with modifier 95 have erroneously denied with one or all of the following Remittance Advice Details (RAD) codes:

  • 0225: This is an incorrect procedure code and/or modifier for this service. Please resubmit.
  • 0062: The facility type/Place of Service is not acceptable for this procedure.

No action is required of providers. Claims will be automatically reprocessed, as appropriate. Providers should continue to submit claims in a timely manner and to check the Medi-Cal website regularly for updates regarding this issue.