What is a Medi-Cal aid code?
Asked by: Sheldon Schroeder V | Last update: June 23, 2025Score: 4.8/5 (75 votes)
What is the 7G aid code for Medi-Cal?
7G Valid only for ambulatory prenatal care services No Presumptive Eligibility (PE) – Ambulatory Prenatal Care.
What is aid code 14 Medi-Cal?
Aid Code: 14, AGED-MN • Definition: Aid to the Aged-Medically Needy (FFP) – Persons age 65 or older who do not wish or are not eligible for a cash grant but are eligible for Medi-Cal only. No share of cost required of the beneficiaries.
What is Medi-Cal Aid code 8C?
When an MNO individual is eligible for the SLMB program and the aid code 8C is reported to the Medi-Cal Eligibility Data System, the State gains FFP for his or her SLMB enrollment.
What is Medi-Cal Aid code L6?
L6 is a full-scope aid code for citizens and individuals with satisfactory immigration status with income at or below 128 percent FPL. L7 is the corresponding restricted-scope aid code for aliens without satisfactory immigration status and unverified citizenship with income at or below 128 percent FPL.
What Is Medi-Cal? (Part 1)
What is L6 code in medical billing?
Interest Owed “L6” If a Health Care Claim accrued interest on top of the regular payment due, the payment may include an “Interest Owed” PLB segment.
What is Medi Cal code A?
OHC Code “A” identifies Medi-Cal recipients who have OHC; however providers are allowed, but not required, to bill the OHC carrier prior to billing Medi-Cal if the response from the Medi-Cal eligibility verification system is the “A” OHC code.
What is the aid code 67 for Medi-Cal?
67 DISABLED -MN-SOC Aid to the Disabled-Medically Needy, Share of Cost (FFP) – See Aid Code 64 for definition of Disabled-MN. Share of cost is required of the beneficiaries. 1H AGED Aged persons who, due to their income levels, would normally be included in the Medi-Cal Share of Cost population (Aid Code 17).
What is the aid code 76 for Medi-Cal?
Aid code 76 will cover all months of pregnancy in addition to the 365 days of postpartum. When aid code 76 is applied, the individual remains eligible under their original limited or restricted scope aid code, and is protected through the pregnancy and postpartum period. during the 365-day postpartum period.
What is Medi-Cal code 457?
ICD-9 code 457 for Noninfectious disorders of lymphatic channels is a medical classification as listed by WHO under the range -DISEASES OF VEINS AND LYMPHATICS, AND OTHER DISEASES OF CIRCULATORY SYSTEM (451-459).
What is the aid code 13 for Medi-Cal?
13 Full Y/N Aid to the Aged – Long Term Care (LTC). Covers persons 65 years of age or older who are medically needy and in LTC status.
What is the Medi-Cal aid code V2?
Aid code V2 is for California residents who are not otherwise eligible for Medi-Cal and who do not have health insurance or whose private health insurance does not cover services necessary to diagnose and/or treat COVID-19. Aid code V2 is limited-scope with no share of cost (SOC).
What is the aid code R4?
R4 - Work Incentive Nutritional Supplement for non-two parent/caretaker relative households receiving Non-Assistance CalFresh. R5 - Work Incentive Nutritional Supplement for two parent/caretaker relative households receiving Non-Assistance CalFresh.
What is the aid code 53 for Medi-Cal?
Medi-Cal Identification Card
Aid Code 53 identifies a client as eligible for MC benefits limited to services received while residing in an SNF/ICF. It is not necessary to input any special code to indicate eligibility to limited services.
What is the Medi-Cal aid code X7?
To keep coverage with their Covered CA health plan, clients can call their Covered CA health plan directly. This is considered a QHP and in CalSAWS appears as an X7 aid code.
What is aid code 9G?
9G GENERAL RELIEF/GENERAL ASSISTANCE.
What is a code 20 on Medicaid?
Home Health Demand Denials (Condition Code 20) A demand denial allows a beneficiary to request that Medicare review services that: their HHA advised them were not medically reasonable and necessary; or.
What is medical code 636?
ICD-9 code 636 for Illegal abortion is a medical classification as listed by WHO under the range -OTHER PREGNANCY WITH ABORTIVE OUTCOME (634-639).
What is the Medicare Code 75?
Denial code 75 is related to the Direct Medical Education Adjustment. This code indicates that the claim has been denied or adjusted due to the inclusion of direct medical education costs.
What is the Medi-Cal aid code 76?
Service Aid Code 76 was used for the restricted 60-Day Postpartum Program and will continue to be used under 365-day Postpartum Care extension.
How do I find my Medi-Cal code?
You can often find the ICD-10 code printed after or under the "Diagnosis" (or "Dx") heading on a medical report, bill, or provider letter. Explanation of benefits (EOB) statements from your insurer might also contain ICD codes. It can contain up to seven characters, starting with a capital letter.
What is the Medi-Cal aid code 38?
Aid Code 38 is a mandatory managed care category, which means that individuals receive health care from a Medi-Cal managed care plan.
What is the Medi-Cal aid code L6?
Disabled or blind individuals in the MAGI New Adult group with incomes at or below 128 and without Medicare benefit are considered “not newly eligible” and assigned under aid code L6 (full scope) or L7 (restricted scope).