CCS Service Code Groupings Policy Update

September 8, 2021

The following codes will be added to the California Children's Services (CCS) Service Code Grouping (SCG) 02:

Added Codes

Effective Date Codes
April 1, 2021 HCPCS codes C9072, C9270 J1554, J1557, J1561, J1568, J1572, J1575, Q4087, Q4091, Q4092
June 1, 2021 HCPCS code J1569, Q4088

Reminder: SCG 02 includes all the codes in SCG 01, plus additional codes applicable only to SCG 02. SCG 03 includes all the codes in SCG 01 and SCG 02, plus additional codes applicable only to SCG 03. SCG 07 includes all the codes in SCG 01, plus additional codes applicable only to SCG 07.

Additionally, the Hierarchical Ingredient Code List (HICL) is updated for both CCS and Genetically Handicapped Persons Program (GHPP).

Code Updates

Effective Date Added/End-Dated Codes
April 1, 2021 Added CPT® codes 46773, 47149
April 1, 2021 End-Dated CPT codes 41391, 41762, 41763, 41764, 41798, 41855, 43712, 45354, 45734, 46208
June 1, 2021 Added CPT codes 41796, 45891

An Erroneous Payment Correction (EPC) will be implemented to reprocess claims that were appropriately submitted, but erroneously paid based on previously published SCG and HICL information.