California Children’s Services (CCS) Program cal child ser

Service Code Groupings 1

This section identifies California Children’s Services (CCS) Service Code Groupings (SCGs). These code groupings allow providers to submit a single code on a Service Authorization Request (SAR) that represents a wide range of services. If the SAR is approved, all the codes in the SCG group identified on the SAR are reimbursable.

The following effective dates are listed throughout the section:

^ July 1, 2006 / ## December 1, 2006 / c July 1, 2007
* September 1, 2006 / a January 1, 2007 / d August 1, 2007
# November 1, 2006 / b April 1, 2007 / e September 1, 2007

Physician Service The following is a list of codes that comprise SCG 01 for physicians.

Code Group 01

Authorized HCPCS Codes in Physician SCG 01

2 – California Children’s Services (CCS) Program Service Code Groupings

September 2007

California Children’s Services (CCS) Program cal child ser

Service Code Groupings 1

HCPCS

Codes

A9542

A9543

A9544 #

A9545 #

C9225 d

C9232 c

C9233 d

C9234 c

J0129 c

J0132–J0133 #

J0135

J0180

J0348 d

J0480 #

J0795 #

J0881–J0882 #

J0885–J0886 #

J0894 d

J1162 #

J1265 #

J1451 #

J1458 c

J1640 #

J1675 #

J1740 d

J1751–J1752 #

J1785

J1931

J1945 #

J2248 d

J2278 #

J2315 c

J2325 #

J2357

J2425 #

J2469

J2503–J2504 #

J2794

J2805 #

J2850 #

J3243 d

J3285 #

J3396

J3490 ##

J3590 ##

J7187 d

J7311 d

J7611 d

J7613 d

J9001 a

J9025

J9027 #

J9035 d

J9041

J9045 a

J9175 #

J9201 d

J9261 d

J9263 e

J9264 #

J9266 c

J9305

J9310 a

J9350 #

Q4079 #

Q4084–Q4086 d

Q9945–Q9957 #

S0116 d

S0145 #

S0164

S0265 #

X4522

X5500–X5501

X5503

X5505

X5507

X5509

X5514

X5516

X5518

X5520

X5522

X5528

X5530

X5534

X5536

X5540

X5550

X5552

X5554

X5556

X5558

X5560

X5562

X5564

X5566

X5572

X5576

X5578

X5580

X5582

X5584

X5586

X5588

X5598

X5600

X5602

X5604

X5606

X5608

X5610

X5612

X5614

X5618

X5620

X5622

X5626

X5628

X5630

X5632

X5634

X5636

X5640

X5642

X5644

X5646

X5648

X5650

X5652

X5654

X5656

X5658

X5660

X5662

X5666

X5668

X5672

X5674

X5676

X5678

X5680

X5682

X5694

X5698

X5700

X5702

X5704

X5708

X5710

X5712

X5714

X5716

X5718

X5720

X5722

X5724

X5726

X5728

X5738

X5740

X5744

X5750

X5752

X5756

X5762

X5764

X5766

X5768

X5770

X5772

X5774

X5776

X5778

X5780

X5782

X5784

X5786

X5790

X5792

X5794

X5796

X5798

X5800

X5802

X5804

X5808

X5810

X5818

2 – California Children’s Services (CCS) Program Service Code Groupings

December 2006

California Children’s Services (CCS) Program cal child ser

Service Code Groupings 1

2 – California Children’s Services (CCS) Program Service Code Groupings

December 2006

cal child ser

3

Authorized HCPCS Codes in Physician SCG 01 (continued)

2 – California Children’s Services (CCS) Program Service Code Groupings

December 2006

cal child ser

11

X5820

X5822

X5824

X5826

X5828

X5840

X5842

X5844

X5846

X5848

X5850

X5852

X5854

X5856

X5858

X5860

X5862

X5864

X5866

X5868

X5872

X5876

X5878

X5880

X5882

X5888

X5890

X5892

X5894

X5896

X5898

X5904

X5906

X5908

X5910

X5912

X5914

X5918

X5920

X5922

X5924

X5926

X5928

X5930

X5932

X5934

X5942

X5944

X5956

X5958

X5960

X5962

X5964

X5966

X5970

X5972

X5974

X5976

X5980

X5984

X5988

X5992

X6002

X6004

X6006

X6008

X6012

X6014

X6018

X6020

X6022

X6024

X6026

X6030

X6036

X6038

X6040

X6042

X6046

X6048

X6051

X6058

X6060

X6062

X6064

X6070

X6080

X6082

X6084

X6086

X6090

X6092

X6106

X6108

X6110

X6112 #

X6114

X6116

X6118

X6122

X6126

X6136

X6138

X6140

X6146

X6158

X6160

X6162

X6164

X6166

X6168

X6174

X6178

X6196

X6198

X6204

X6206

X6208

X6210 #

X6214

X6216

X6220

X6222

X6226

X6228

X6236

X6240

X6242

X6252

X6254

X6258

X6262

X6264

X6274

X6282

X6284

X6286

X6288

X6296

X6298

X6302

X6304

X6306

X6308

X6320

X6326

X6328

X6330

X6332

X6334

X6336

X6352

X6354

X6366

X6408

X6410

X6422

X6424

X6426

X6432

X6434

X6436

X6438

X6440

X6442

X6444

X6446

X6452

X6454

X6456

X6458

X6460

X6462

X6464

X6466

X6470

X6474

X6476

X6478

X6480

X6482

X6486

X6488

X6490

X6492

X6494

X6496

X6504

X6506

X6512

X6514

X6516

X6520

X6522

X6524

X6526

X6528

X6530

X6532

X6534

X6550

X6552

X6556

X6558

X6560

X6562

X6566

X6578

X6580

X6582

X6588

X6592

X6594

X6596

X6598

X6600

X6604

X6606

X6610

X6612

X6614

X6616

X6618

X6620

X6622

X6624

X6626

X6628

X6630

X6632

X6634

X6636

X6638

X6640

X6642

X6644

X6646

X6648

X6656

X6658

X6660

X6664

X6666

2 – California Children’s Services (CCS) Program Service Code Groupings

December 2006

cal child ser

11

2 – California Children’s Services (CCS) Program Service Code Groupings

December 2006

cal child ser

3

Authorized HCPCS Codes in Physician SCG 01 (continued)

2 – California Children’s Services (CCS) Program Service Code Groupings

September 2007

cal child ser

5

X6670

X6672

X6700

X6702

X6704

X6706

X6714

X6716

X6718

X6720

X6728

X6730

X6732

X6734

X6736

X6738

X6740

X6742

X6754

X6758

X6760

X6764

X6776

X6778

X6780

X6782

X6784

X6792

X6794

X6810

X6816

X6826

X6828

X6830

X6832

X6836 #

X6856

X6862

X6864

X6870

X6888

X6890

X6892

X6894

X6896

X6912

X6920

X6942

X6944

X6968

X6970

X6972

X6974

X6976

X6978

X6980

X6984

X6996

X6998

X7010

X7025–X7027

X7030 #

X7046

X7048

X7050

X7052

X7060–X7061

X7104–X7105

X7122

X7364

X7366

X7420

X7434

X7436

X7444

X7456

X7458

X7460

X7462

X7464

X7470
X7478–X7480
X7482

X7484 d

X7486

X7488

X7490
X7492
X7493 #
X7496

X7498

X7500

X7502

X7504

X7506

X7508

X7510

X7512

X7514

X7516

X7518

X7520

X7522

X7524

X7526

X7528

X7530

X7532

X7536

X7540

X7542

X7544

X7546

X7548

X7550–X7552

X7556

X7558

X7560

X7562

X7564

X7566

X7568

X7570

X7572

X7574

X7576

X7578

X7580

X7582 a

X7584

X7586

X7588 a

X7624

X7630 d

X7632

X7634 a

X7636

X7638

X7640

X7642

X7644

X7646

X7648

X7650

X7652

X7654

X7658 e
X7660 #

X7662 #

X7700

X7702

X7704

X7706

X7708

X7710

X7716

X7718

X7720

X7724

X7726

X9922

X9924

X9926

X9928

X9930

X9932

X9934

X9936

X9938

X9940

X9942

X9944

X9946

X9948

X9950

X9952

X9954

X9956

X9958

X9960

X9962

X9964

X9966

X9968

X9970

Z0002 #

Z0004 #

Z0006 #

Z0100

Z0102

Z0104

Z0106

Z0108

Z0200 #

Z0202 #

Z0204 #

Z0206 #

Z0208 #

Z0210 #

Z0306
Z0316

Z1030 #

Z1032 #

Z5200

Z5202

Z5204

Z5206

Z5218

Z5220

Z5226
Z5228

Z7500

Z7502

Z7504

Z7506

Z7508

Z7510

Z7512

Z7514

Z7610

Z7612

2 – California Children’s Services (CCS) Program Service Code Groupings

December 2006

cal child ser

5

2 – California Children’s Services (CCS) Program Service Code Groupings

December 2006

cal child ser

5

Authorized CPT-4 Codes in Physician SCG 01 (continued)

2 – California Children’s Services (CCS) Program Service Code Groupings

December 2006

cal child ser

5

CPT-4

Codes

00100

00102–00104

00120

00124

00126

00140

00142

00144–00145

00147–00148

00160

00162

00164

00170

00172

00174

00176

00190

00192

00210

00212

00214–00216

00218

00220

00222

00300

00320

00322

00326

00350

00352

00400

00402

00404

00406

00410

00450

00452

00454

00470

00472

00474

00500

00520

00522

00524

00528

00529

00530

00532

00534

00537

00539–00542

00546

00548

00550

00560

00561

00562–00563

00566

00580

00600

00604

00620

00622

00625–00626 d

00630

00632

00634–00635

00640

00670

00700

00702

00730

00740

00750

00752

00754

00756

00770

00790

00792

00794

00796–00797

00800

00802

00810

00820

00830

00832

00834

00836

00840

00842

00844

00846

00848

00851

00860

00862

00864–00866

00868

00870

00872–00873

00880

00882

00902

00904

00906

00908

00910

00912

00914

00916

00918

00920–00922

00924

00926

00928

00930

00932

00934

00936

00938

00940

00942

00944

00948

00950

00952

01112

01120

01130

01140

01150

01160

01170

01173

01180

01190

01200

01202

01210

01212

01214–01215

01220

01230

01232

01234

01250

01260

01270

01272

01274

01320

01340

01360

01380

01382

01390

01392

01400

01402

01404

01420

01430

01432

01440

01442

01444

01462

01464

01470

01472

01474

01480

2 – California Children’s Services (CCS) Program Service Code Groupings

December 2006

cal child ser

5

2 – California Children’s Services (CCS) Program Service Code Groupings

December 2006

cal child ser

5

Authorized CPT-4 Codes in Physician SCG 01 (continued)

2 – California Children’s Services (CCS) Program Service Code Groupings

July 2007

cal child ser

5

01482

01484

01486

01490

01500

01502

01520

01522

01610

01620

01622

01630

01632

01634

01636

01638

01650

01652

01654

01656

01670

01680

01682

01710

01712

01714

01716

01730

01732

01740

01742

01744

01756

01758

01760

01770

01772

01780

01782

01810

01820

01829–01830

01832

01840

01842

01844

01850

01852

01860

01905

01916

01920

01922

01924–01926

01930–01933

01951–01953

01958

01960–01963

01964 #

01965–01966 #

01967–01969

01990–01992

01995 d

01996

01999

10021–10022 #

10040

10060–10061

10120

10121

10140

10160

10180

11000–11001

11004–11006

11008

11055–11057

11100–11101

11200–11201

11400–11404

11406

11420–11424

11426

11440–11444

11446

11600–11604

11606

11620–11624

11626

11640–11644

11646

11720–11721

11730

11732

11740

11750

11752 #

11756 #

11760 #

11762 #

11765 #

12001–12002

12004–12007

12011

12013–12018

12020–12021

12031–12032

12034–12037

12041–12042

12044–12047

12051–12057

13100–13102

13120–13122

13131–13133

13150–13153

13160

14000–14001

14020–14021

14040–14041

14060–14061

14300

14350

15851

16000

16020

17000

17003–17004

17106–17107

17110–17111

17250

21300 d

26010–26011

29049

29055

29058

29065

29075

29085

29105

29125–29126

29130–29131

29200

29220

29240

29260

29280

29305

29325

29345

29355

29358

29365

29405

29425

29435

29440

29445

29450

29505

29515

29520

29530

29540

29550

29580

29590

29700

29705

29710

29715

29720

29730

29740

29750

30000

30020

30200

30300

30901

30903

30905–30906

31000

31002

31231 #

31500

31502 #

31603

31605

31620

31622–31625

31628–31633

31635–31638

31640–31641

31643

31645–31646

31656

32000

32002

32005

32019

32020

36000

36400

36405–36406

36410

36420

36425

36500

36510

36540

36550

36555–36558

36560–36561

36563

36565–36566

36568–36571

36575–36576

36578

36580–36585

36589–36590

36595–36597

36598 #

36600

36620

36625

36640

36660

36680

38220–38221

38300

38500

38505

40800

40804

40808

2 – California Children’s Services (CCS) Program Service Code Groupings

July 2007

cal child ser

5

2 – California Children’s Services (CCS) Program Service Code Groupings

July 2007

cal child ser

5

Authorized CPT-4 Codes in Physician SCG 01 (continued)

2 – California Children’s Services (CCS) Program Service Code Groupings

July 2007

cal child ser

5

40819–40820

40830–40831

41000

41005

41800

42000

43234–43237

43239

43760–43761

46600

49080

51000

51005

51010

51600

51605

51610

51700

51701–51703

51705

51710

51725–51726

51736

51741

51772

51784–51785

51792

51795

51797–51798

53600–53601

53620–53621

53660–53661

54000

54050

54055

54056

54057

54060

54065

54500

56442 d

57400

57410

57415

61000–61001

61070

62270

62272

62284

62290–62291

62310–62311

62318–62319

64450

65205

65210

65220

65222

65430

65435

65800

65805

67500

67515

67700

67710

67715

67800

67801

67805

67810

67820

67840

67850

67930

67935

67938

68020

68040

68100

68110

68200

68801

68810

68840

69000

69020

69100

69105

69200

69210

69420

70010

70015

70030

70100

70110

70120

70130

70134

70140

70150

70160

70170

70190

70200

70210

70220

70240

70250

70260

70300

70310

70320

70328

70330

70332

70360

70370

70373

70380

70390

70450

70460

70470

70480–70482

70486–70488

70490–70492

70540

70542–70549

70551–70553

70557–70559

71010

71015

71020–71023

71030

71034–71035

71040

71060

71090

71100–71101

71110–71111

71120

71130

71250

71260

71270

71275

71550–71552

71555 d

72010

72020

72040

72050

72052

72069–72070

72072

72074

72080

72090

72100

72110

72114

72120

72125–72133

72141–72142

72146–72149

72156–72158

72159 d

72170

72190

72192–72197

72198 d

72200

72202

72220

72240

72255

72265

72270

72275

72285

72291–72292 d

72295

73000

73010

73020

73030

73040

73050

73060

73070

73080

73085

73090

73092

73100

73110

73115

73120

73130

73140

73200–73202

73218–73223

73225 d

73500

73510

73520

73525

73530

73540

73542

73550

73560

73562

73564–73565

73580

73590

73592

73600

73610

2 – California Children’s Services (CCS) Program Service Code Groupings

July 2007

cal child ser

5

2 – California Children’s Services (CCS) Program Service Code Groupings

July 2007

cal child ser

7

Authorized CPT-4 Codes in Physician SCG 01 (continued)

2 – California Children’s Services (CCS) Program Service Code Groupings

August 2007

cal child ser

7

73615

73620

73630

73650

73660

73700–73702

73718–73723

73725 d

74000

74010

74020

74022

74150

74160

74170

74181–74183

74185

74190

74210

74220

74230

74235

74240–74241

74245–74247

74249–74251

74260

74270

74280

74283

74290–74291

74300–74301

74305

74320

74327–74330

74340

74350

74355

74360

74363

74400

74410

74415

74420

74425

74430

74440

74445

74450

74455

74470

74475

74480

74485

74710

74740

74775

75600

75605

75625

75630

75650

75658

75660

75662

75665

75671

75676

75680

75685

75705

75710

75716

75722

75724

75726

75731

75733

75736

75741

75743

75746

75756

75774

75790

75801

75803

75805

75807

75809–75810

75820

75822

75825

75827

75831

75833

75840

75842

75860

75870

75872

75880

75885

75887

75889

75891

75893

75984

75989

75992–75996

75998 d

76000–76001

76003 d

76005–76006 d

76010

76012–76013 d

76020 d

76040 d

76061–76062 d

76065–76066 d

76070–76071 d

76075–76077 d

76080

76086 d

76088 d

76090–76092 d

76096 d

76098

76100–76102

76120

76125

76140

76150

76350

76355 d

76360 d

76362 d

76370 d

76375 #

76376–76377 b

76380

76496–76499

76506

76510

76511–76513

76516

76519

76529

76536

76604

76645

76700

76705

76770

76775

76776 d

76778 d

76800–76802

76805

76810–76812

76815–76817

76820–76821

76825–76828

76830–76831

76856–76857

76870

76872–76873

76880

76885–76886

76930

76932

76937

76940

76941–76942

76946

76950

76965

76970

76975

76986 d

76998 d

76999

77001–77003 d

77011–77014 d

77021–77022 d

77031–77032 d

77051–77059 d

77071–77077 d

77080–77081 d

78000–78001

78003

78006–78007

78010–78011

78015–78016

78018

78020

78070

78075

78099

78102–78104

78110–78111

78120–78122

78130

78135

78140

78160 #

78162 #

78170 #

78172 #

78185

78190–78191

78195

78199

78201–78202

78205–78206

78215–78216

78220

78223

78230–78232

78258

78261–78262

78264

78270–78272

78278

78282

78290–78291

78299–78300

78305–78306

78315

78320

78399

78414

78428

78445

78455 #

78456–78458

78460–78461

78466

78468

78472

78600–78601

78605–78606

78609–78610

78615

78630

78635

78645

78650

78660

78699–78701

78704 d

78707–78709

78715 d

78725

78730

78740

78760 d

78761

2 – California Children’s Services (CCS) Program Service Code Groupings

August 2007

cal child ser

7

2 – California Children’s Services (CCS) Program Service Code Groupings

August 2007

cal child ser

7

Authorized CPT-4 Codes in Physician SCG 01 (continued)

2 – California Children’s Services (CCS) Program Service Code Groupings

August 2007