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Dental Procedure Codes (CDT)
​​Medical Supply Tool
Restricted Drug and Enteral Products
Hemophilia Blood Factor Products

Dental Procedure Codes (CDT)

California Children’s Services (CCS) follows Medi-Cal Dental policies and procedures including utilizing dental procedure codes.  Medi-Cal Dental uses the American Dental Association’s (ADA) Current De​​ntal Terminology (CDT) Codes. The most current CDT codes may not be in use.  The following is a link to the current Medi-Cal Dental Provider Handbook.  Go to Section 5: 

Medical Supply Tool

Medical Supply Codes Requiring a Product Specific SAR.

Restricted Drug and Enteral Products 

Restricted Drugs List in the Medi-Cal Provider Manual

Enteral Nutrition: List of Contracted Products
Below, are web links to the Medi-Cal Provider Manual's List of Enteral Nutrition Products. Contracted product categories include: elemental/semi-elemental, metabolic, specialized, specialty infant, and standard enteral nutrition. CCS/GHPP coverage of enteral nutrition products that are billable by specific Medi-Cal 11-digit NDCs are limited to the products listed. Review Medi-Cal Rx Provider Manual​ for enteral nutrition policies and procedures. 

Note: Contracted enteral nutrition products are code specific, not product name specific.

Hemophilia Blood Factor Products

Service Code Groupings - Medical

The following California Children's Services Program Service Code Groupings document contains the most current list of codes in Service Code Groupings 01-12. ​

​Service Code Groupings - Dental

The Medi-Cal Dental website contains the most current list of codes included in the individual SCGs.  Go to Section 9, Special Programs, in the Medi-Cal Dental Provider Handbook:


Last modified date: 1/22/2025 4:13 PM