§ 51504. Comprehensive Perinatal Services.
22 CA ADC § 51504Barclays Official California Code of Regulations
22 CCR § 51504
§ 51504. Comprehensive Perinatal Services.
(b) Except where a capitated health system contract entered into by the Department provides otherwise, reimbursement for comprehensive perinatal obstetric services shall not exceed the maximum allowances for similar services established in Sections 51503, 51509 or 51509.1, whichever is applicable, plus the following amounts.
(d) Except where a capitated health system contract entered into by the Department provides otherwise, reimbursement for comprehensive perinatal nutrition, psychosocial, and health education services shall not exceed the maximum allowances listed in this section. Reimbursement shall be claimed only for time spent rendering covered patient care services while in direct personal contact with the patient. Reimbursement shall not be claimed for similar services provided under the Maternal and Child Health program.
Procedure Code | Maximum Allowance |
Z6500 | Initial comprehensive nutrition, psychosocial, and health education assessments and development of care plan, first 30 minutes each assessment (total of 90 minutes), including ongoing coordination of care. | $135.83 |
Z6200 | Initial nutrition assessment and development of care plan, first 30 minutes | $16.83 |
Z6202 | Initial nutrition assessment and development of care plan, each subsequent 15 minutes | 8.41 |
(Maximum of 1 ½ hours) | ||
Z6204 | Follow-up antepartum nutrition assessment, treatment and/or intervention, individual, each 15 minutes | 8.41 |
(Maximum of 2 hours) | ||
Z6206 | Follow-up antepartum, nutrition assessment, treatment, and/or intervention, group, per patient, each 15 minutes | 2.81 |
(Maximum of 3 hours) | ||
Z6208 | Postpartum nutrition assessment, treatment, and/or intervention, including development of care plan, individual, each 15 minutes | 8.41 |
(Maximum of 1 hour) | ||
Z6210 | Prenatal vitamin-mineral supplement, 300-day supply | 39.96 |
Procedure Code | Maximum Allowance |
Z6300 | Initial psychosocial assessment and development of care plan, first 30 minutes | $16.83 |
Z6302 | Initial psychosocial assessment and development of care plan, each subsequent 15 minutes | 8.41 |
(Maximum of 1 ½ hours) | ||
Z6304 | Follow-up antepartum psychosocial assessment, treatment and/or intervention, individual, each 15 minutes | 8.41 |
(Maximum of 3 hours) | ||
Z6306 | Follow-up antepartum psychosocial assessment, treatment and/or intervention, group, per patient, each 15 minutes | 2.81 |
(Maximum of 4 hours) | ||
Z6308 | Postpartum psychosocial assessment, treatment, and/or intervention, including development of care plan, individual, each 15 minutes | 8.41 |
(Maximum of 1 ½ hours) | ||
Z6400 | Client orientation, each 15 minutes | 8.41 |
(Maximum of 2 hours) | ||
Z6402 | Initial health education assessment and development of care plan, first 30 minutes | 16.83 |
Z6404 | Initial health education assessment and development of care plan, each subsequent 15 minutes | 8.41 |
(Maximum of 2 hours) | ||
Z6406 | Follow-up antepartum health education assessment, treatment, and/or intervention, individual, each 15 minutes | 8.41 |
(Maximum of 2 hours) | ||
Z6408 | Follow-up antepartum health education assessment, treatment, and/or intervention, group, per patient, each 15 minutes | 2.81 |
(Maximum of 2 hours) | ||
Z6410 | Perinatal education, individual, each 15 minutes | 8.41 |
(Maximum of 4 hours) | ||
Z6412 | Perinatal education, group, per patient, each 15 minutes | 2.81 |
(Maximum of 18 hours) | ||
Z6414 | Post partum health education assessment, treatment, and/or intervention, including development of care plan, individual, each 15 minutes | 8.41 |
(Maximum of 1 hour) |
Credits
Note: Authority cited: Sections 10725, 14105 and 14124.5, Welfare and Institutions Code. Reference: Sections 14075, 14077, 14105 and 14134.5, Welfare and Institutions Code; Statutes of 2000, Chapter 52, Items 4260-101-0001 and 0890.
History
1. New section filed 2-17-87 as an emergency; effective upon filing (Register 87, No. 8). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 6-17-87.
2. New section refiled 6-5-87 as an emergency; operative 6-17-87 (Register 87, No. 25). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 10-15-87.
3. Certificate of Compliance including amendment of subsection (d) filed 9-17-87 (Register 87, No. 38).
4. Amendment of subsection (b) filed 5-9-88 as an emergency; operative 5-15-88 (Register 88, No. 20). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 9-12-88.
5. Certificate of Compliance including amendment of subsection (b)(2) transmitted to OAL 9-1-88 and filed 10-3-88 (Register 88, No. 42).
6. Amendment of subsections (e)(1)-(e)(4) filed 9-25-92 as an emergency; operative 10-1-92 (Register 92, No. 40). A Certificate of Compliance must be transmitted to OAL 1-25-93 or emergency language will be repealed by operation of law on the following day.
7. Certificate of Compliance as to 9-25-92 order transmitted to OAL 1-22-93 and filed 3-9-93 (Register 93, No. 11).
8. Amendment of subsections (e)(1)-(2) and (e)(4), new subsection (f) and amendment of Note filed 7-16-2002; operative rates for services provided on or after 8-1-2000 pursuant to Stats. 2000, c. 52, Items 4260-101-0001 and 0890 (Register 2002, No. 29).
9. Certificate of Compliance as to 7-16-2002 order, including repealer of subsection (f), transmitted to OAL 11-12-2002 and filed 12-24-2002 (Register 2002, No. 52).
This database is current through 4/26/24 Register 2024, No. 17.
Cal. Admin. Code tit. 22, § 51504, 22 CA ADC § 51504
| End of Document |