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Reminder to Use Correct Billing Modifiers

November 10, 2005

Providers are reminded that recently implemented modifiers are only to be used for dates of service on or after the effective date noted in Medi-Cal Updates. For the following types of billing, providers should use the appropriate modifiers for the date of service billed.

Type of Billing Old Modifiers Current Modifiers Date of Change
Telemedicine TM GT August 1, 2005
Hearing Aids, Accessories and Services Y1, Y2, Y6, Y7 NU, RR, RP November 1, 2005
2005 Annual HCPCS/CPT-4 Code Update YQ, YS, ZK, ZU, ZV 22, AG, ET, SA, SB, SC November 1, 2005

For more in-depth details, see the following Medi-Cal Update for your specific provider community: For telemedicine, June 2005. For the annual HCPCS/CPT-4 Code Update and hearing aids, September 2005.