Medi-Cal
October 1, 2022The Department of Health Care Services (DHCS) is updating the reimbursement rate for CPT® code 87593 used for reporting an infectious agent detection by nucleic acid (DNA or RNA); orthopoxvirus (e.g., monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each has a new rate of $35.09, effective for dates of service on or after July 26, 2022.
An Erroneous Payment Correction (EPC) will be implemented to reprocess affected claims with dates of service on or after the effective date of this billing policy, that were appropriately submitted based on the guidance published in this article, but erroneously denied because Medi-Cal had not yet implemented the system changes to support appropriate adjudication.
Source: https://files.medi-cal.ca.gov/pubsdoco/newsroom/newsroom_31823_09.aspx