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Medicare AdvantageBilling CodesMedium impact

23-429m Use Correct CPT Codes and HCPCS Billing for Medicare

Health Net·CA·Reimbursement
Effective date
Jun 22, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

HealthNet California issued important guidance on using correct CPT and HCPCS codes for Medicare billing. The policy emphasizes proper coding practices with CPT II and HCPCS codes, with a provider flyer available for download.

Action Required

Action needed
Immediately: Billing team should download and review the Provider Flyer from HealthNet California's provider library. Review current CPT II and HCPCS coding practices for Medicare claims to ensure compliance with correct billing procedures. Update staff training materials based on the guidance provided.