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36.4.3.15 Anesthesia (General) for THSteps Dental Restoration
Anesthesia services for THSteps dental procedures must be billed using procedure code 7-00170 with modifier EP and diagnosis code 52100 in Block 21 of the CMS-1500 paper claim form.
Note: Except for Primary Care Case Management (PCCM), THSteps Dental anesthesia services for clients in the STAR and STAR+PLUS health plans must be billed to the appropriate health plan, not to TMHP. PCCM providers submit claims to TMHP.
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