Medi-Cal – End-Date to ICD-10-CM Codes for 2020 Yearly Clinical Medical Policy

Effective retroactive for dates of service on or after October 1, 2019, the ICD-10-CM code mappings have been updated to for the 2020 annual ICD-10-CM medical policy.

An Erroneous Payment Correction (EPC) will be implemented to reprocess denied 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. Providers may also elect to use this updated billing policy to correct and resubmit previously denied claims as described in the CIF Submission and Timeliness Instructions section of the Provider Manual.

Source: https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/32836