TMPPM 2011 > Gynecological and Reproductive Health, Obstetrics, and Family Planning Services Handbook > Department of State Health Services (DSHS) Titles V, X, and XX Family Planning Services > Services, Benefits, Limitations, and Prior Authorization > Radiology

   
 

4.3.4 Radiology

The following radiology services may be reimbursed for services performed for the purpose of localization of an IUD:

Procedure Code
Title V Fee
Title XX Fee

74000

$16.64

$16.64

74010

$25.91

$25.91

76830

$86.19

$86.19

76856

$85.65

$85.65

76857

$65.46

$65.46

76880

$98.19

$98.19

76881

$92.47

$92.47

76882

$24.28

$24.28


Texas Medicaid & Healthcare Partnership
CPT only copyright 2010 American Medical Association. All rights reserved.
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