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2012 Texas Medicaid Provider Procedures Manual

Gynecological and Reproductive Health and Family Planning Services Handbook : 4. Department of State Health Services (DSHS) Family Planning Program Services : 4.2 Services, Benefits, Limitations, and Prior Authorization

4.2 Services, Benefits, Limitations, and Prior Authorization
This section contains information about family planning services funded through the DSHS Family Planning Program funding source including:
Drugs and supplies
Providers are encouraged to include one of the following family planning diagnosis codes on the claim in conjunction with all family planning procedures and services:
One of the diagnosis codes in this table may be included in Block 24 E of the CMS-1500 claim form referencing the appropriate procedure code. The choice of diagnosis code must be based on the type of family planning service performed.

Texas Medicaid & Healthcare Partnership
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