← Back to list
20-954 Is Your Screening of Young Children's Blood Lead Levels Compliant?
Act
immediately
Effective date
Not stated in the notice
Identified
Jun 20, 2026
Summary
This policy reinforces compliance requirements for blood lead screening in children ages 6 months to 6 years during periodic health assessments. Key requirements include mandatory screening at 12 and 24 months, specific documentation when parents refuse testing, and proper billing using CPT 83655 and ICD-10 Z13.88.
Get alerts when payers change rules like this one
We check Health Net and other payers every day and email you when a change matches your specialty and state.
Get Health Net alertsPolicy Monitoring is free. No card required.
What to do
immediately · 3 steps
01Billing team must ensure CPT 83655 and ICD-10 Z13.88 are used for blood lead screenings.
02Providers must document parental refusal with signed statements when consent is withheld, or document why signed refusal was not obtained.
03Update EMR templates to include lead screening reminders for children 6 months to 6 years during periodic health assessments.
Codes mentioned
83655Z13.88
Original notice
20-954 Is Your Screening of Young Children's Blood Lead Levels Compliant?
providerlibrary.healthnetcalifornia.com · Always check the source before changing claims.
Related changes
See all Health Net changes →20-953 Is Your Screening of Young Children's Blood Lead Levels Compliant?MediumNo effective date · Reimbursement20-552 Earn Incentives through the Prop 56 VBP ProgramMediumNo effective date · Pharmacy20-554 Earn Incentives through the Prop 56 VBP ProgramMediumNo effective date · PharmacyBrowse every Health Net change in the policy list