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2012 Texas Medicaid Provider Procedures Manual

Gynecological and Reproductive Health and Family Planning Services Handbook : 5. Gynecological Health Services : 5.4 Salpingostomy : 5.4.1 Prior Authorization for Salpingostomy

5.4.1
Prior authorization is required for salpingostomy.
The prior authorization request must include documentation of one or more of the following conditions:

Texas Medicaid & Healthcare Partnership
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