TMPPM 2008 > Texas Medicaid Services > Case Management for Children and Pregnant Women (CPW) > Reimbursement

    
 

12.4 Reimbursement

CPW providers are reimbursed in accordance with Title 1 TAC §355.8401. The procedure code to be used for all CPW services is G9012. Modifiers are used to identify which service component is provided.

Service
Contact Code
Maximum Fee

Comprehensive visit

1-G9012 with modifier U5
and modifier U2

$124.15

Follow-up face-to-face

1-G9012 with modifier U5
and modifier TS

$62.08

Follow-up telephone

1-G9012 with modifier TS

$23.28

Refer to: "Reimbursement" for more information about reimbursement.

The 2.5 percent payment reduction was discontinued effective September 1, 2007.

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