California denial decoder
Diagnosis code does not match DHCS table
California requires specific ICD-10-CM codes by CPT or HCPCS service line.
Denial guidance uses state billing sources.
Next actions avoid reimbursement guarantees.
Source trail remains visible for review.
Diagnosis code does not match DHCS table
California requires specific ICD-10-CM codes by CPT or HCPCS service line.
Next action
Confirm the service type and use one of the DHCS-listed diagnosis codes for that line.
Back to California rulesWhy this page exists
Denial pages use the same checked state sources as the app.
DHCS Medi-Cal FFS Doula Billing Codes ChartCalifornia Department of Health Care Services · 2024 TRI rates for services provided on or after January 1, 2024 · checked 2026-06-13DHCS Doula ProvidersCalifornia Department of Health Care Services · Standing recommendation, PAVE enrollment, MCP contracting, and provider resources reviewed June 13, 2026 · checked 2026-06-13Medi-Cal Provider Manual Part 2: Doula ServicesCalifornia Department of Health Care Services / Medi-Cal · Updated through December 2025: diagnosis table, XP modifier, service caps, documentation, telehealth modifier references · checked 2026-06-13DHCS Billing Tips for Doula ProvidersCalifornia Department of Health Care Services · Updated October 17, 2024: BIC checks, RAD denial tips, diagnosis requirement, XP modifier reminder · checked 2026-06-13