MedicaidBilling CodesMedium impact
23-144 Follow California Prenatal Screening Program Process and Use Correct Coding to Avoid Denials
Health Net·CA · OB-GYN, Family Medicine, Internal Medicine·Coding
We identified it
Jun 20, 2026
Summary
Health Net California requires providers to follow the California Prenatal Screening Program process and use correct coding for diagnosis code Z360 to avoid claim denials. This applies to specific California counties for Medi-Cal services.
Action Required
Immediately: Billing team must ensure proper coding of diagnosis code Z360 and follow California Prenatal Screening Program processes for prenatal screening services. Download and review the Provider Update PDF from Health Net California. Update billing procedures to comply with the screening program requirements to avoid claim denials.