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

26.4.8.5 Obstetric Panel (5-80055)

This panel must include the following:

•5-86592, 5-86762, 5-86850, 5-86900, 5-86901, and 5-87340.

•One of the following combinations:

•5-85025 or (5-85004 and 5-85027).

•5-85027 and (5-85007 or 5-85009).