TMPPM 2008 > Provider Information > Claims Filing > Coding

    
 

5.3.5 Benefit Code

A benefit code is an additional data element used to identify state programs.

Providers that participate in the following programs must use the associated benefit code when submitting claims and authorizations:

Program
Benefit Code

Comprehensive Care Program (CCP)

CCP

CSHCN Services Program

CSN

THSteps Medical

EP1

THSteps Dental

DE1

Family Planning Agencies*

FP3

Hearing Aid Dispensers

HA1

Maternity

MA1

County Indigent Health Care Program

CA1

Early Childhood Intervention (ECI) Providers

ECI

Tuberculosis (TB) Clinics

TB1

*Agencies only-Benefit codes should not be used for individual family planning providers.

Texas Medicaid & Healthcare Partnership
CPT only copyright 2007 American Medical Association. All rights reserved.
PreviousNextIndex