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5.3.3 Procedure Coding
The procedure coding system used by the Texas Medicaid Program is called the Healthcare Common Procedure Coding System (HCPCS). HCPCS provides health-care providers and third party payers a common coding structure.
HCPCS is designed around a five-character numeric or alphanumeric base for all codes. HCPCS consists of two levels of codes. HCPCS is updated annually to ensure an up-to-date coding structure. It is updated using the latest edition of the CPT manual and nationally established HCPCS codes released by CMS. Scheduled updates are announced in Medicaid bi-monthly bulletins.
The two levels of codes are as follows:
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