TMPPM 2008 > Texas Medicaid Services > Family Planning Services > Procedure Codes and Reimbursement Amounts

    
 

20.7.3.3 Laboratory Procedures-Titles V and XX

The following list of laboratory procedures and reimbursements are those authorized for billing by Titles V and XX family planning service providers with appropriate documentation in the client's record.

Procedure Code
Title V Fee
Title XX Fee

5-80061

$0*
NA

5-81002

$3.54
$3.54

5-81015

$4.20
$4.20

5-81025

$8.74
$8.74

5-81099

$0*
NA

5-82465

$0*
$6.02

5-82947

$0
$5.42

5-83020

$0*
NA

5-84478

$7.95
$7.95

5-85013

$3.27
$3.27

5-85018

$3.27
$3.27

5-85025

$10.74
$10.74

5-85660

$7.63
$7.63

5-86580

$7.36
$7.36

5-86592

$0*
$5.90

5-86701

$0*
NA

5-86762

$0*
$19.89

5-87070

$11.90
$11.90

5-87205

$5.90
$5.90

5-87797

$0*
$27.71

5-88150

$0*
$14.60

5-88230

$0*
NA
* Title V providers do not receive reimbursement for services performed free of charge by the DSHS Laboratory. For correct tracking of services performed, providers are required to include these services on their Title V Family Planning claims filed with TMHP.

Refer to: "Clinical Laboratory Improvement Amendments (CLIA)"

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