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

    
 

20.7.8 Sterilization and Sterilization-Related Procedures

Sterilization services are a benefit when billed by an agency, an FQHC, or a physician. FQHCs and physicians must use the most appropriate Current Procedural Terminology (CPT) procedure code for payment. The codes with the global fees listed in the following table are developed for family planning agencies only:

Procedure Code
Fee for Titles V and XX

1-55250*

$253.75

1-58600*

$1800.00
* Global fee (includes all services, i.e. facility, physician, anesthesia, recovery, and pre- and post-surgical care).

Type of service (TOS) 1 must be used by family planning agencies when billing sterilization procedures.

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