Service Authorization Request Tools
Dental Procedure Codes (CDT)
Medical Supply Tool
Restricted Drug and Enteral Products
Hemophilia Blood Factor Products
Service Code Groupings (SCG)
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Dental Procedure Codes (CDT)
California Children’s Services (CCS) follows Medi-Cal Dental policies and procedures including utilizing dental procedure codes. Medi-Cal Dental uses the American Dental Association’s (ADA) Current Dental Terminology (CDT) Codes. The most current CDT codes may not be in use. The following is a link to the current Medi-Cal Dental Provider Handbook. Go to Section 5:
Medical Supply Tool
Medical Supply Codes Requiring a Product Specific SAR.
Restricted Drug and Enteral Products
Restricted Drugs List in the Medi-Cal Provider Manual
Enteral Nutrition: List of Contracted Products
Below, are web links to the Medi-Cal Provider Manual's List of Enteral Nutrition Products. Contracted product categories include: elemental/semi-elemental, metabolic, specialized, specialty infant, and standard enteral nutrition. CCS/GHPP coverage of enteral nutrition products that are billable by its 11-digit Medi-Cal billing number are limited to the products listed. Review
This Computes #421 for an alternative procedure for authorization of non-contracted enteral nutrition products.
Note: Contracted enteral nutrition products are code specific, not product name specific.
Hemophilia Blood Factor Products
Service Code Groupings (SCGs)
Note that though all FDA approved drugs are contained in the Service Code Groupings (excluding drugs that require specific authorization by CCS), all the drugs do not appear in the lists due to space constraints. A complete list of drugs that require specific authorization by CCS can be found in the California Children's Services Program Service Authorization Request document.
These code lists continue to require revisions. “This Computes!” will alert you when the code lists are updated.
Service Code Groupings - Medical
The following California Children's Services Program Service Code Groupings document contains the most current list of codes in Service Code Groupings 01-12.
Service Code Groupings - Dental
The Medi-Cal Dental website contains the most current list of codes included in the individual SCGs. Go to Section 9, Special Programs, in the Medi-Cal Dental Provider Handbook:
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