TMPPM 2008 > Texas Medicaid Services > Hospital (Medical/Surgical Acute Care Facility) > Outpatient

    
 

25.3.3.15 Colorectal Cancer Screening

The following procedure codes are benefits of the Texas Medicaid Program:

Procedure Codes

2/F-G0104

2/F-G0105

2-G0121

4/I/T-G0106

4/I/T-G0120

Procedure codes 2/F-G0104, 4/I/T-G0106, and 2-G0121 are limited to diagnosis codes V1272 and V7651.

Procedure codes 2/F-G0105 and 4/I/T-G0120 are limited to the following diagnosis codes:

Diagnosis Codes

5550

5551

5552

5559

5560

5561

5562

5563

5568

5569

5589

V1005

V1006

V1272

V160

V1851

Procedure code 4/I/T-G0122 is not a benefit of the Texas Medicaid Program.

Refer to: "Colorectal Cancer Screening" for more information.
Texas Medicaid & Healthcare Partnership
CPT only copyright 2007 American Medical Association. All rights reserved.
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