36.5.3.5 Procedure Codes Requiring Mandatory Prior AuthorizationThe following procedure codes may be payable to an oral and maxillofacial surgeon when mandatory prior authorization is received from the TMHP Medical Director or designee. A narrative explaining medical necessity must be provided with the authorization request.
Refer to: "Guidelines for Requesting Mandatory Prior Authorization" for more instructions about submitting your request for prior authorization. |
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Texas Medicaid & Healthcare Partnership CPT only copyright 2008 American Medical Association. All rights reserved. |
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