Denial of LEA Preventative Medicine Counseling Claims in California

California’s Department of Health Care Services announced that LEA billing claims for preventative medicine counseling (CPT-4 Code 99401) have been erroneously denied when more than one unit per day was billed. The error has been fixed and any affected claims will be reprocessed for dates of service on or after January 1, 2015.

This issue will have little to no impact for most LEAs since this treatment is a non-IEP service, for which most LEAs do not bill due to the recently reversed free care policy.

Source: Medi-Cal NewsFlash: Erroneous Denial of LEA Preventative Medicine Counseling Claims