TMPPM 2008 > Texas Medicaid Services > Vision Care (Optometrists, Opticians) > Benefits and Limitations

   
 

45.4.2.2 Echography

Procedure codes 4-76511, 4-76512, 4-76513, and 4-76999 are payable for the following diagnoses or conditions:

Diagnosis Codes

1900

1901

1984

2240

2241

2340

2388

2398

25050

25051

25052

25053

36100

36101

36102

36103

36104

36105

36106

36107

36110

36111

36112

36113

36114

36119

3612

36130

36131

36132

36133

36181

36189

3619

36201

36202

36210

36211

36212

36213

36214

36215

36216

36217

36218

36221

36229

36230

36231

36232

36233

36234

36235

36236

36237

36240

36241

36242

36243

36250

36251

36252

36253

36254

36255

36256

36257

36260

36261

36262

36263

36264

36265

36266

36270

36271

36272

36273

36274

36275

36276

36277

36281

36282

36283

36284

36285

36289

36340

36341

36342

36343

36361

36362

36363

36370

36371

36372

36441

36641

37921

37922

37923

37924

37925

37926

37929

37992

Procedure codes 4-76511, 4-76512, 4-76516, 4-76519 are payable for the following diagnoses:

Diagnosis Codes

36600

36601

36602

36603

36604

36609

36610

36611

36612

36613

36614

36615

36616

36617

36618

36619

36620

36621

36622

36623

36630

36631

36632

36633

36634

36641

36642

36643

36644

36645

36646

36650

36651

36652

36653

3668

3669

37100

37101

37102

37103

37104

37105

37110

37111

37112

37113

37114

37115

37116

37120

37121

37122

37123

37124

37130

37131

37132

37133

37140

37141

37142

37143

37144

37145

37146

37148

37149

37150

37151

37152

37153

37154

37155

37156

37157

37158

37160

37161

37162

37170

37171

37172

37173

37181

37182

37189

3719

37931

37932

37933

37934

37939

74330

74331

74332

74333

74334

74335

74336

74337

74339

Procedure code 4-76529 is payable for the following diagnoses:

Diagnosis Codes

36050

36051

36052

36053

36054

36055

36059

36060

36061

36062

36063

36064

36065

36069

3766

8704

8715

8716

9300

9301

9302

9308

9309

Procedure code 4-76511, 4-76516, or 4-76519 will not be reimbursed if procedure code 4-76512 is billed on the same day, by any provider.


Texas Medicaid & Healthcare Partnership
CPT only copyright 2007 American Medical Association. All rights reserved.
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