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| May 2010 Procedure Code Updates
Information posted March 5, 2010: Effective for dates of service on or after May 1, 2010, some provider type and place-of-service (POS) limitations will change for some Texas Medicaid services. Click on the title to view the details.
| | April Procedure Code Review Updates for IV Therapy and Urinalysis Services
Information posted February 22, 2010: Effective for dates of service on or after April 1, 2010, to align with the Centers for Medicare & Medicaid Services (CMS) requirements for easy access to all Texas Medicaid fees, provider type, place-of-service (POS), and type-of-service (TOS) changes will be applied to intravenous (IV) therapy equipment and supplies and urinalysis services. Click on the title to view the details.
| | April Procedure Code Review Updates Now Available
Information posted February 19, 2010: Effective for dates of service on or after April 1, 2010, to align with the Centers for Medicare & Medicaid Services (CMS) requirements for easy access to all Texas Medicaid fees, provider type, place-of-service (POS), and type-of-service (TOS) changes will be applied to a number of services. Click on the title to view the details. | | March Updates for THSteps Diagnostic Dental Services and Ophthalmic Ultrasound Services
Information posted February 19, 2010: Effective for dates of service on or after March 1, 2010, to align with the Centers for Medicare & Medicaid Services (CMS) requirements for easy access to all Texas Medicaid fees, provider type, place-of-service (POS), and type-of-service (TOS) changes will be applied to some procedure codes, including Texas Health Steps (THSteps) diagnostic dental services and ophthalmic ultrasound services. Click on the title to view the details.
| | Update to “Procedure Code Review Updates for February 2010”
Information posted February 12, 2010: This is an update to an article that was published on the TMHP website at www.tmhp.com on January 8, 2010, titled “Procedure Code Review Updates for February 2010.” Additional updates were made to procedure codes 75945, 76940, and 76945. Click on the title to view the details. | | Coming Soon: Procedure Code Review Updates for April 1, 2010
Information posted February 5, 2010: Effective for dates of service on or after April 1, 2010, to align with the Centers for Medicare & Medicaid Services (CMS) requirements for easy access to all Texas Medicaid fees, provider type, place-of-service (POS), and type-of-service (TOS) changes will be applied to a number of services. Click on the title to view the details. | | Additional Procedure Code Updates for February 1, 2010 for Texas Medicaid
Information posted February 5, 2010: Effective February 1, 2010, to align with the Centers for Medicare & Medicaid Services (CMS) requirements for easy access to all Texas Medicaid fees, provider type, place-of-service (POS), and type-of-service (TOS) changes were applied to some radiology, laboratory, and surgical procedure codes. Click on the title to view the details. | | Prior Authorization Requirements to Change for Some Unlisted Procedure Codes Effective April 1, 2010
Information posted February 5, 2010: Effective for dates of service on or after April 1, 2010, prior authorization requirements will change for some unlisted procedure codes. Click on the title to view the details.
Article:
| | Procedure Code Review Effective February 6, 2010
Information posted February 5, 2010: Effective February 6, 2010, to align with the Centers for Medicare & Medicaid Services (CMS) requirements for easy access to all Texas Medicaid fees, provider type, place-of-service (POS), and type-of-service (TOS), changes will be applied to some procedure codes. Click on the title to view the details.
| | Cardiac Catheterization Procedure Codes Updated
Information posted January 29, 2010: Effective January 20, 2010, for dates of service on or after July 1, 2009, cardiac catheterization procedure codes 93501, 93503, 93505, 93508, 93510, 93511, 93514, 93524, 93526, 93527, 93528, 93529, 93530, 93531, 93532, and 93533 have been updated. Click on the title to view the details.
| | Radiology Procedure Codes Being Reinstated for NP, CNS, PA, and Radiation Treatment Center Providers
Information posted January 29, 2010: Effective February 11, 2010, for dates of service on or after July 1, 2009, some radiology procedure codes will be updated for nurse practitioner (NP), clinical nurse specialist (CNS), physician assistant (PA), and radiation treatment center providers in the office, inpatient hospital, or outpatient hospital setting. Click on the title to view the details.
| | Claims Reprocessing for Procedure Code 43520
Information posted January 22, 2010: Effective January 14, 2010, for dates of service on or after April 1, 2009, surgical procedure code 43520 may be reimbursed to physicians in the outpatient hospital setting. Claims that were submitted by physicians in the outpatient hospital setting with procedure code 43520 and dates of service from April 1, 2009, through January 13, 2010, will be reprocessed, and payments will be adjusted accordingly. No action on the part of the provider is required.
| | Procedure Code Review Updates for Dates of Service on or After February 1, 2010
Information posted January 15, 2010: Effective for dates of service on or after February 1, 2010, to align with the Centers for Medicare & Medicaid Services (CMS) requirements for easy access to all Texas Medicaid fees, provider type, place-of-service (POS), and type-of-service (TOS) changes will be applied to some procedure codes, including chelating agent injection services and osteogenic stimulation services. Click on the title to view the details.
| | Claims Reprocessing for Procedure Code 43653
Information posted January 15, 2010: TMHP has identified an issue that impacts claims submitted with the assistant surgery component of procedure code 43653 and dates of service from April 1, 2009, through January 14, 2010. These claims might have been denied in error. Affected claims will be reprocessed, and payments will be adjusted accordingly. No action on the part of the provider is required. Reminder: Effective for dates of service on or after April 1, 2009, the assistant surgery component of procedure code 43653 is no longer reimbursed to certified nurse midwives in the inpatient hospital or outpatient hospital setting.
For more information, call the TMHP Contact Center at 1-800-925-9126.
| | Procedure Code Review Updates for March 2010
Information posted January 15, 2010: Effective for dates of service on or after March 1, 2010, to align with the Centers for Medicare & Medicaid Services requirements for easy access to all Texas Medicaid fees, provider type, place-of-service, and type-of-service changes will be applied to some procedure codes, including ophthalmic ultrasound services and Texas Health Steps diagnostic dental services.
Details of these changes will be available by March 1, 2010, on this web page and will be published in the May/June 2010 Texas Medicaid Bulletin, No. 229.
| | Procedure Code Review Updates for February 2010
Information posted January 8, 2010: Effective for dates of service on or after February 1, 2010, the total and technical components will be updated for some radiology procedure codes. Click on the title to view the details. | | Coming Soon: Procedure Code Review Updates for March 2010
Information posted January 8, 2010: Effective for dates of service on or after March 1, 2010, to align with the Centers for Medicare & Medicaid Services requirements for easy access to all Texas Medicaid fees, provider type, place-of-service, and type-of-service changes will be applied to some procedure codes, including ophthalmic ultrasound services and Texas Health Steps diagnostic dental services.
Details of these changes will be available by March 1, 2010, on this web page and will be published in the May/June 2010 Texas Medicaid Bulletin, No. 229. | | Coming Soon: Procedure Code Review Updates for February 1, 2010
Information posted December 11, 2009: Effective for dates of service on or after February 1, 2010, to align with the Centers for Medicare & Medicaid Services (CMS) requirements for easy access to all Texas Medicaid fees, provider type, place-of-service (POS), and type-of-service (TOS) changes will be applied to some procedure codes, including chelating agent injection services, osteogenic stimulation services, and miscellaneous drugs.
Details of these changes will be available by February 1, 2010, on this web page and will be published in the May/June 2010 Texas Medicaid Bulletin, No. 229.
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