Erroneously Denied Claims for Surgical Laparoscopy

December 4, 2020

The Department of Health Care Services (DHCS) has identified a claims processing issue that causes claims to be denied when billed for CPT® code 58661 (laparoscopy, surgical; with removal of adnexal structures [partial or total oophorectomy and/or salpingectomy]).

An Erroneous Payment Correction (EPC) will be implemented to reprocess affected claims.  Providers should continue to submit claims in a timely manner and are encouraged to check the Medi-Cal Provider website regularly for updates regarding this issue.