TMPPM 2011 > Gynecological and Reproductive Health, Obstetrics, and Family Planning Services Handbook > Women's Health Program (Title XIX Family Planning) > Services, Benefits, Limitations, and Prior Authorization > Drugs and Supplies

   
 

3.3.6 Drugs and Supplies

Procedure codes A4267, A4268, A4269, J1055, J7303, J7304, and S4993 may be reimbursed for drugs and supplies.

Procedure codes A4268, A4269, and S4993 may be reimbursed when they are billed with one of the following diagnosis codes:

Diagnosis Codes

V2501

V2502

V2503

V2509

V2512

V252

V2540

V2541

V2542

V2543

V2549

V255

V258

V259

V615


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