TMPPM 2011 > Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook > Physician > Services/Benefits, Limitations, and Prior Authorization > Bacillus Calmette-Guérin (BCG) Intravesical for Treatment of Bladder Cancer

   
 

8.2.9 Bacillus Calmette-Guérin (BCG) Intravesical for Treatment of Bladder Cancer

Live BCG for intravesical (procedure code 90586) or transvesical (procedure code J9031) are benefits of Texas Medicaid for the following diagnosis codes:

Diagnosis Codes

1880

1881

1882

1883

1884

1885

1886

1887

1888

1889

2337

Procedure code 90585 is a benefit of Texas Medicaid for diagnosis code V032. Authorization is not required for the BCG vaccine.

Bladder instillation of anticarcinogenic agent (procedure code 51720) may be reimbursed separately when billed with BCG instillation (procedure code 90586 or J9031).


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