TMPPM 2011 > Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook > Physician > Services/Benefits, Limitations, and Prior Authorization > Obstetrics and Prenatal Care > Amniocentesis, Cordocentesis, and Ultrasonic Guidance

8.2.44.1 Amniocentesis, Cordocentesis, and Ultrasonic Guidance

Procedure code 59001 is restricted to diagnosis codes 65700, 65701, and 65703.

Procedure codes 57410, 59000, 76941, 76942, 76945, and 76946 will be denied if billed with the same date of service by the same provider as procedure code 59001.

Cordocentesis and ultrasonic guidance procedure code 76941 are benefits of Texas Medicaid when billed with one of the following diagnosis codes:

The Medical Director reviews cordocentesis requests on a case-by-case basis for diagnosis codes other than those listed above.

Procedure code 57410 or 76942 will be denied if billed with the same date of service by the same provider as procedure code 59012.

Cordocentesis or umbilical blood sampling is included in the global fee for procedure code 36460.