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25.3.3.9 Bacillus Calmette-Guérin (BCG) Vaccine
Procedure code 1-J9031 is a benefit of the Texas Medicaid Program for the diagnosis codes listed below. Procedure code 1-90586 is also a benefit of the Texas Medicaid Program for the following diagnosis codes:
Procedure code 1-90585 is a benefit of the Texas Medicaid Program for diagnosis code V032. BCG vaccines will autodeny for all other diagnoses.
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