MedicaidBilling CodesMedium impact
23-145 Follow California Prenatal Screening Program Process and Use Correct Coding to Avoid Denials
Health Net·CA · OB-GYN, Family Medicine·Coding
Effective date
Apr 28, 2023
We identified it
Jun 20, 2026
Summary
HealthNet California requires providers to follow California Prenatal Screening Program processes and use correct coding for diagnosis code Z360 to avoid claim denials. This applies specifically to Medi-Cal providers in Fresno, Kings, and Madera counties.
Action Required
Immediately: Billing team must review and follow California Prenatal Screening Program processes for all claims with diagnosis code Z360. Ensure proper coding protocols are implemented for prenatal screening services in Medi-Cal claims for Fresno, Kings, and Madera counties to avoid denials.