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LOCAL PROCEDURE CODE NATIONAL PROCEDURE CODE X0002 A0429 X0006 A0429 X0008 A0225 X0010 A0420 X0012 A0225 X0014 A0424 X0016 A0424 X0018 A0424 X0020 A4217 X0022 93005 X0030 A0429 X0032 A0428 X0034 A0380 X0036 A0422 X0200 A0130 X0202 A0130 X0204 A0130 X0206 A0130 X0208 A0999 X0210 T2005 X0212 T2001 Local Code/National Code Crosswalk This guide is intended to show you which national procedure codes correspond to the locaal procedure codes. National procedure codes are to be used when submitting encounters and claims to Blue Shield of California Promise Health plan Blue Shield of California Promise Health Plan is a licensee of the Blue Shield Association Page 24 of 24

Local Code/National Code Crosswalk...This guide is intended to show you which national procedure codes correspond to the locaal procedure codes. National procedure codes are to be

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Page 1: Local Code/National Code Crosswalk...This guide is intended to show you which national procedure codes correspond to the locaal procedure codes. National procedure codes are to be

LOCAL PROCEDURE CODE NATIONAL PROCEDURE CODEX0002 A0429X0006 A0429X0008 A0225X0010 A0420X0012 A0225X0014 A0424X0016 A0424X0018 A0424X0020 A4217X0022 93005X0030 A0429X0032 A0428X0034 A0380X0036 A0422X0200 A0130X0202 A0130X0204 A0130X0206 A0130X0208 A0999X0210 T2005X0212 T2001

Local Code/National Code Crosswalk

This guide is intended to show you which national procedure codes correspond to the locaal procedure codes. National procedure codes are to be used when submitting encounters and claims to Blue Shield of California

Promise Health plan

Blue Shield of California Promise Health Plan is a licensee of the Blue Shield Association Page 24 of 24

Page 2: Local Code/National Code Crosswalk...This guide is intended to show you which national procedure codes correspond to the locaal procedure codes. National procedure codes are to be

LOCAL PROCEDURE CODE NATIONAL PROCEDURE CODEX0214 T2007X0216 A0425X0218 A0999X0220 A0422X0222 A0999X0400 A0428X0402 A0380X0404 T2005X0406 A0130X0408 A0425X0410 A0999X0412 A0422X0414 T2001X0416 A0999X0500 A0436X0502 A0435X0504 A0999X0506 T2007X0508 A0999X0510 A0422X0512 A0999X0514 A0999X0516 J7030X0518 J7040X0522 A0999X0702 R0075X0800 99000X1500 S4993X1506 J3490X1508 L1499X1512 J7300X1516 A4649X1518 A4649X1522 J7300

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Page 3: Local Code/National Code Crosswalk...This guide is intended to show you which national procedure codes correspond to the locaal procedure codes. National procedure codes are to be

LOCAL PROCEDURE CODE NATIONAL PROCEDURE CODEX2902 E0251X2906 E0256X2916 E0163X2926 E0100X2982 E0196X2990 E1399X2995 E1399X2996 E1399X2997 E1399X2998 K0739X2999 E1399X3000 E1399X3002 E1130X3004 E1140X3006 E0973X3008 E0973X3010 E1100X3012 E1050X3018 E1240X3020 E2632X3024 E0973X3042 E1228X3072 E1298X3078 E0981X3080 K0052X3104 K0038X3160 K0001X3162 K0108X3168 E0245X3170 E0245X3174 E1399X3182 E0910X3184 E0910X3186 E0910

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Page 4: Local Code/National Code Crosswalk...This guide is intended to show you which national procedure codes correspond to the locaal procedure codes. National procedure codes are to be

LOCAL PROCEDURE CODE NATIONAL PROCEDURE CODEX3190 E0910X3230 E2364X3232 E2361X3234 E2363X3900 97039X3902 97039X3904 97139X3906 97139X3908 97139X3910 97139X3912 97036X3914 97036X3916 97113X3918 97113X3920 97750X3922 97750X3924 97001X3926 97001X3928 97001X3930 97001X3932 97799X3934 99082X3936 97139X4100 97003X4102 97003X4104 97003X4106 97003X4108 97003X4110 97799X4112 97799X4114 97535X4116 99082X4118 97799X4120 97003

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Page 5: Local Code/National Code Crosswalk...This guide is intended to show you which national procedure codes correspond to the locaal procedure codes. National procedure codes are to be

LOCAL PROCEDURE CODE NATIONAL PROCEDURE CODEX4300 92523X4301 92522X4302 92508X4303 92507X4304 92507X4306 99056X4308 92700X4310 92609X4312 92607X4320 92700X4500 92557X4501 92552X4502 92626X4504 92585X4506 92521X4508 92557X4510 92557X4512 92560X4514 92564X4516 92562X4518 92563X4520 95930X4522 92585X4524 95925X4526 92507X4528 92508X4530 92567X4532 92594X4534 99056X4535 92700X4536 92700X4538 92567X4540 92567X4542 92595

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Page 6: Local Code/National Code Crosswalk...This guide is intended to show you which national procedure codes correspond to the locaal procedure codes. National procedure codes are to be

LOCAL PROCEDURE CODE NATIONAL PROCEDURE CODEX4544 92507X4546 92540X4700 99202X4702 99212X5334 90460X5500 J0290X5503 J2501X5522 A9270X5528 J0171X5530 J0171X5540 J0210X5552 J3301X5554 J2920X5556 S0017X5558 J0278X5560 J0278X5562 J0278X5566 J0300X5570 J0300X5572 J0285X5574 J0290X5576 J0290X5578 J0290X5580 J0290X5582 J0290X5584 J0290X5586 J0290X5588 J0290X5594 J0300X5600 J3490X5602 J0690X5604 J0690X5606 J0690X5608 J0690

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Page 7: Local Code/National Code Crosswalk...This guide is intended to show you which national procedure codes correspond to the locaal procedure codes. National procedure codes are to be

LOCAL PROCEDURE CODE NATIONAL PROCEDURE CODEX5610 J0690X5612 J0690X5614 J0690X5620 J1060X5622 J0725X5626 J3120X5634 J3120X5636 J0330X5640 J3490X5642 J0500X5646 J0725X5648 J0360X5650 J3430X5652 J3430X5654 J3490X5660 J1380X5662 J1380X5672 J3303X5674 J3303X5676 90389X5680 J3490X5694 J0461X5698 J0461X5700 J0461X5702 J0461X5704 J0461X5716 J3490X5718 J3490X5720 J2700X5722 J2700X5726 J2700X5728 J0470X5730 90586X5738 J1200

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Page 8: Local Code/National Code Crosswalk...This guide is intended to show you which national procedure codes correspond to the locaal procedure codes. National procedure codes are to be

LOCAL PROCEDURE CODE NATIONAL PROCEDURE CODEX5740 J1200X5744 J0515X5752 J3420X5764 J0558X5774 J3490X5776 J3105X5780 J3490X5784 J3490X5790 S0020X5792 S0020X5794 S0020X5796 J0595X5798 J0595X5800 J3490X5804 J0630X5818 J0670X5820 J0670X5822 J0670X5854 J0694X5856 J0694X5858 J0696X5860 J0696X5862 J0696X5864 J0696X5876 J0702X5880 J3301X5918 J3230X5930 J1205X5956 S0077X5958 S0077X5970 J0780X5972 J1410X5974 J1725X5980 J1720

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Page 9: Local Code/National Code Crosswalk...This guide is intended to show you which national procedure codes correspond to the locaal procedure codes. National procedure codes are to be

LOCAL PROCEDURE CODE NATIONAL PROCEDURE CODEX6004 J1100X6008 J1100X6012 J0895X6020 J2175X6022 J2175X6024 J2175X6026 J2175X6036 J1040X6038 J1030X6040 J1020X6062 J1110X6064 J3360X6080 J1160X6084 J1165X6086 J1170X6090 J1170X6092 J1170X6098 J2790X6108 J1250X6122 J3490X6126 J1790X6136 J2510X6158 J3490X6160 J3490X6164 J0171X6206 J3010X6208 J3010X6216 J2360X6218 90658X6220 J2680X6222 J3490X6226 J3490X6228 J1940X6236 J2550

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Page 10: Local Code/National Code Crosswalk...This guide is intended to show you which national procedure codes correspond to the locaal procedure codes. National procedure codes are to be

LOCAL PROCEDURE CODE NATIONAL PROCEDURE CODEX6240 J1580X6242 J1580X6254 J1610X6258 J3490X6274 J1630X6282 J1642X6284 J1642X6286 J1644X6296 J1644X6302 J1644X6304 J1644X6306 J1644X6308 J1644X6336 J3410X6354 J1800X6366 J1815X6400 J1815X6408 J3490X6410 J3490X6412 J1815X6422 J1840X6424 J1840X6426 J1840X6430 J3490X6434 J3490X6436 J3490X6438 J3490X6446 J0640X6452 J3490X6456 J3490X6462 J2001X6464 J2001X6494 J2001X6504 J2010

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Page 11: Local Code/National Code Crosswalk...This guide is intended to show you which national procedure codes correspond to the locaal procedure codes. National procedure codes are to be

LOCAL PROCEDURE CODE NATIONAL PROCEDURE CODEX6506 J2560X6512 J3475X6514 J3475X6516 J3475X6518 J2720X6520 J2720X6522 J3490X6524 J3490X6526 J3490X6528 J3490X6530 S0020X6536 J3430X6548 90733X6560 J2800X6566 J2210X6580 J2930X6592 J2270X6594 J2270X6596 J2270X6598 J3490X6604 S0032X6606 S0032X6612 J2300X6614 J2310X6616 J2310X6620 J3260X6624 J2515X6626 J2370X6630 J2710X6632 J2710X6634 J2710X6636 J3490X6666 J2590X6670 J3490

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Page 12: Local Code/National Code Crosswalk...This guide is intended to show you which national procedure codes correspond to the locaal procedure codes. National procedure codes are to be

LOCAL PROCEDURE CODE NATIONAL PROCEDURE CODEX6672 J3490X6698 J2540X6700 J2540X6702 J2540X6704 J2540X6706 J2540X6710 J2540X6716 J2510X6718 S0080X6720 J3070X6724 J2515X6742 J2550X6754 J2560X6758 J2760X6760 J3490X6776 J3490X6794 J2690X6816 J2720X6828 J0330X6836 J0885X6892 J1720X6894 J1720X6998 J3370X7002 J3420X7010 J3410X7025 J0698X7026 J0698X7027 J0698X7046 J1442X7050 J2405X7060 J9202X7061 J9202X7104 J1626X7108 J0475

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Page 13: Local Code/National Code Crosswalk...This guide is intended to show you which national procedure codes correspond to the locaal procedure codes. National procedure codes are to be

LOCAL PROCEDURE CODE NATIONAL PROCEDURE CODEX7122 J2997X7364 J2820X7366 J2820X7444 J2430X7446 J1950X7458 J0561X7460 J0561X7462 J0561X7482 J7321X7488 J0735X7496 J2916X7498 J3486X7502 J9000X7508 J9040X7510 J0636X7512 J0636X7520 J9120X7522 J9070X7526 J9070X7542 J9181X7546 J9190X7568 J9280X7578 J9360X7638 J9171X7646 J9178X7700 J7030X7702 J7030X7704 A4217X7706 S4993X7708 95165X7710 95145X7720 J8499X7722 J8499X7728 J7304

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Page 14: Local Code/National Code Crosswalk...This guide is intended to show you which national procedure codes correspond to the locaal procedure codes. National procedure codes are to be

LOCAL PROCEDURE CODE NATIONAL PROCEDURE CODEX7730 J7303X7932 G0008X8160 L3908X8168 L1499X8208 L4210X8280 L3649X8284 L3260X9000 L7510X9544 99366X9924 99222X9928 99231X9932 99233X9952 99254X9968 99254Z0100 99222Z0102 99291Z0108 99233Z0308 96999Z0310 01996Z0314 R0076Z0316 92567Z0318 H0033Z0324 T1013Z0326 T1013Z0328 T1013Z0329 T1013Z0334 S0302Z0336 S0199Z1030 59025Z1032 99215Z1034 59425Z1036 59426Z1038 59430Z1700 93922

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Page 15: Local Code/National Code Crosswalk...This guide is intended to show you which national procedure codes correspond to the locaal procedure codes. National procedure codes are to be

LOCAL PROCEDURE CODE NATIONAL PROCEDURE CODEZ2006 S0302Z4300 S0302Z4301 S0302Z4302 S0302Z4303 S0302Z4304 S0302Z4305 S0302Z4306 99367Z4307 T1024Z4308 T1024Z4309 T1024Z4310 99366Z4311 99368Z4312 99368Z4313 99078Z4314 S9446Z5020 S9470Z5023 98960Z5200 36430Z5202 99195Z5204 86999Z5206 P9017Z5218 99000Z5220 99000Z5226 P9041Z5228 P9046Z5406 98967Z5408 99199Z5410 T2003Z5412 T2003Z5414 S9976Z5416 99199Z5418 D0120Z5422 T1026

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Page 16: Local Code/National Code Crosswalk...This guide is intended to show you which national procedure codes correspond to the locaal procedure codes. National procedure codes are to be

LOCAL PROCEDURE CODE NATIONAL PROCEDURE CODEZ5424 S0215Z5438 D0210Z5440 D7610Z5442 D0120Z5444 D0120Z5446 D0210Z5448 D6199Z5450 D0120Z5452 D7610Z5454 D0120Z5456 D7610Z5458 D0120Z5460 D0210Z5462 D0120Z5464 D8660Z5466 D7610Z5468 D8670Z5470 D8680Z5499 D9999Z5802 S9470Z5804 S9123Z5805 S9123Z5806 S9124Z5807 S9124Z5814 90834Z5816 96150Z5820 T1016Z5822 S0302Z5830 T1029Z5832 S9213Z5833 S9213Z5834 T1003Z5835 S9124Z5836 S9123

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Page 17: Local Code/National Code Crosswalk...This guide is intended to show you which national procedure codes correspond to the locaal procedure codes. National procedure codes are to be

LOCAL PROCEDURE CODE NATIONAL PROCEDURE CODEZ5838 S9122Z5840 T1002Z5850 99408Z5868 S5105Z5900 S0302Z5902 S0302Z5904 S0302Z5906 S0302Z5908 S0302Z5910 S0302Z5912 S0302Z5914 92585Z5916 S0302Z5918 92555Z5920 92556Z5922 92550Z5924 92550Z5926 92620Z5928 V5020Z5930 92594Z5932 92595Z5934 92587Z5936 92588Z5940 92626Z5942 92626Z5944 92626Z5946 S0302Z5950 S0302Z5952 S0302Z5956 92523Z5958 92603Z5964 92604Z5966 92700Z5968 V5020

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Page 18: Local Code/National Code Crosswalk...This guide is intended to show you which national procedure codes correspond to the locaal procedure codes. National procedure codes are to be

LOCAL PROCEDURE CODE NATIONAL PROCEDURE CODEZ5999 99429Z6000 90999Z6002 90999Z6004 90999Z6006 90999Z6008 90989Z6010 90989Z6012 90989Z6014 90989Z6016 90999Z6018 90999Z6020 90999Z6022 90999Z6024 P9010Z6026 90999Z6028 90999Z6030 90999Z6032 E1600Z6034 A4890Z6036 90999Z6038 90989Z6040 90989Z6042 90989Z6052 90999Z6200 97802Z6202 97802Z6204 97803Z6206 97804Z6208 S9452Z6300 96150Z6302 96150Z6304 96151Z6306 96153Z6308 96152

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Page 19: Local Code/National Code Crosswalk...This guide is intended to show you which national procedure codes correspond to the locaal procedure codes. National procedure codes are to be

LOCAL PROCEDURE CODE NATIONAL PROCEDURE CODEZ6400 H1003Z6402 99401Z6404 99401Z6406 99401Z6408 99078Z6410 H1003Z6412 H1003Z6414 S9445Z6500 H2000Z6604 H0014Z6900 T1001Z6902 T1021Z6904 S9131Z6906 S9129Z6908 S9128Z6910 S9127Z6914 S0280Z6916 S0281Z6918 99600Z6920 T1022Z7100 Q5001Z7102 Q5009Z7104 Q5006Z7106 Q5005Z7108 Q5009Z7110 Q5004Z7304 33999Z7306 47399Z7308 53899Z7310 A0999Z7312 33999Z7314 32999Z7316 32999Z7320 44799

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Page 20: Local Code/National Code Crosswalk...This guide is intended to show you which national procedure codes correspond to the locaal procedure codes. National procedure codes are to be

LOCAL PROCEDURE CODE NATIONAL PROCEDURE CODEZ7322 47399Z7600 95807Z7602 95808Z7604 50080Z7610 J3490Z7612 99199Z8550 T2022Z8551 T2024Z8552 S5105Z8553 S5105Z8554 S5102Z8555 S5100Z8556 S5165Z8557 T2028Z8558 T2034Z8559 S5121Z8560 S5120Z8561 T1020Z8562 T1019Z8563 99509Z8564 T1022Z8565 99600Z8566 99600Z8567 S5126Z8568 S5125Z8569 S9122Z8570 S9122Z8571 T1021Z8572 T1016Z8573 T1016Z8574 S5151Z8575 S5151Z8576 S5151Z8580 S5170

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Page 21: Local Code/National Code Crosswalk...This guide is intended to show you which national procedure codes correspond to the locaal procedure codes. National procedure codes are to be

LOCAL PROCEDURE CODE NATIONAL PROCEDURE CODEZ8581 S5170Z8582 T1999Z8583 S5135Z8584 99404Z8585 T2040Z8586 T2040Z8587 T1013Z8588 S5162Z8589 S5161Z8590 S5199Z8591 S5151Z8592 T2022Z8593 T2001Z8594 T2022Z8595 S5136Z8596 S5136Z8597 T2003Z8598 T2032Z8599 S9976Z8600 T2024Z8601 T2024Z8602 99600Z8603 S5121Z9725 V5008Z9726 V5008Z9727 V5008Z9752 S9445Z9753 S9445Z9754 S944577418 7738582210 8010184147 8499986290 86705A7043 A7048

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Page 22: Local Code/National Code Crosswalk...This guide is intended to show you which national procedure codes correspond to the locaal procedure codes. National procedure codes are to be

LOCAL PROCEDURE CODE NATIONAL PROCEDURE CODEC1300 G0277E0463 E0465G0154 G0300G0275 36221G0431 80304G0434 80304G8459 G8461G8463 G8461G8553G8556 G8559G8557 G8857G8558 G8563G8589 G8753G8590 G8754G8591 G8755G8596 G8894G8790 3074FG8791 3075FG8792 G8753G8793 3078FG8794 3079FG8795 G8755G8796 G8785G8799 G8967G8800 G8969G8801 G8971G8919 G8752G8920 G8753G8921 G8754G8922 G8755J0150 J0153J0151 J0153J1080 J1071J2275 J2274

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Page 23: Local Code/National Code Crosswalk...This guide is intended to show you which national procedure codes correspond to the locaal procedure codes. National procedure codes are to be

LOCAL PROCEDURE CODE NATIONAL PROCEDURE CODEJ7506 J7512J9265 J9267S0144 J2704S3625 81510S3626 81511S3833 81201S3834 81202X7716X7724Z7500Z7502Z7504Z7506Z7508Z7510Z7512Z7514Z7516Z9751J0886 Q4081Z7606 G0277Z5954 92521Z7608 G0277Q9952 A9576A0030 A0430Q9970 J143990730 9071490718 9071490701 9938190663 9066464483 64483X7052 J9267A0800 A080083845 80101

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Page 24: Local Code/National Code Crosswalk...This guide is intended to show you which national procedure codes correspond to the locaal procedure codes. National procedure codes are to be

LOCAL PROCEDURE CODE NATIONAL PROCEDURE CODE86586 86486X7492 J1756X7506 J9050X7516 J9060X7532 J9130X7572 J9370X7654 J939590645 90648C9736 0366T90724 Q203990737 90645X1532 J7302X5618 J1070X6046 J1051X6051 J1055X9930 99232Z0104 99478Z0106 99478Z0312 33960Z4315 S0302H1038 59430

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