Medi-Cal – Reimbursement Rates
February 2, 2004California Medi-Cal has established reimbursement rates for services previously listed as “By Report” for dates of service on or after October 1, 2003. Accordingly, the services listed below may now be billed electronically. The maximum reimbursement rates are as follows:
CPT-4 Code | Description | Rate |
86294 | Immunoassay, tumor antigen, qual or semiquant | $21.69 |
87338 | Helicobacter pylori, stool | $15.90 |
88142 | Cytopathology, cervical or vaginal, manual screening under physician supervision | $22.40 |
88143 | Cytopathology, cervical or vaginal with manual screening and rescreening under physician supervision | $19.60 |
88356 | Morphometricanalysis; nerve | $260.38 |
Note: The maximum reimbursement rate for CPT-4 codes 88144 and 88145 is $21.20. These codes are reimbursable only for dates of service on or before September 22, 2003.