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

    
 

20.7.4 Radiology

Radiology services are to be performed for the purpose of localization of an IUD.

Procedure Code
Fee for Titles V, XIX and XX

4-74000

$22.91

4-74010

$27.00

4-76815

$69.55

Title XlX Only

These procedures can be billed on either the Family Planning 2017 claim form or the CMS-1500 claim form. Physicians, NPs, CNSs, PAs, and FQHCs may bill any radiology code that is medically necessary.

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