TMPPM 2008 > Texas Medicaid Services > Independent Laboratory > Benefits and Limitations

26.4.8.2 General Health Panel (5-80050)

This panel must include the following:

•5-80053 and 5-84443.

•One of the following combinations:

•5-85025 or (5-85004 and 5-85027).

•5-85027 and (5-85007 or 5-85009).