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2012 Texas Medicaid Provider Procedures Manual

Behavioral Health, Rehabilitation, and Case Management Services Handbook : 8. Substance Use Disorder (SUD) Services (Abuse and Dependence) : 8.5 Treatment Services : 8.5.2 Ambulatory (Outpatient) Treatment Services

Ambulatory (outpatient) treatment services must be billed with procedure codes H0004 or H0005 and modifier HF.
Procedure codes H0004 and H0005 are limited to the following diagnosis codes:

Texas Medicaid & Healthcare Partnership
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