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2012 Texas Medicaid Provider Procedures Manual

Durable Medical Equipment, Medical Supplies, and Nutritional Products Handbook : 2. Texas Medicaid (Title XIX) Home Health Services : 2.2 Services, Benefits, Limitations and Prior Authorization : 2.2.16 Osteogenic Stimulation : Professional Services
Professional Services
Procedure codes 20974, 20975, and 20979 are a benefit of Texas Medicaid for the following diagnosis codes:
Procedure codes 20974, 20975, and 20979 are limited to 1 per 6 months. During the 6-month limitation period, a subsequent fracture that meets the above criteria for an osteogenic stimulator may be reimbursed after the submission of an appeal with documentation of medical necessity that demonstrates the criteria have been met.

Texas Medicaid & Healthcare Partnership
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