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40.3.4.2 In-Facility Dialysis-Nonroutine Laboratory
The following are considered necessary, nonroutine tests. They must be billed separately from the dialysis charge when performed in the CRD facility or by an outside laboratory that bills the facility for laboratory services. All nonroutine laboratory and radiology tests beyond the recommended frequencies require medical justification.
Procedure code 1-99001 for nonroutine laboratory services may be billed to the Texas Medicaid Program only if the specimen is obtained by venipuncture or catheterization and sent to an outside lab. The claim form must document that the handling fee is for nonroutine laboratory services.
Once a Month
Every Three Months
Every Six Months
Annually
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