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2012 Texas Medicaid Provider Procedures Manual

Inpatient and Outpatient Hospital Services Handbook : 4. Outpatient Hospital (Medical/Surgical Acute Care Outpatient Facility) : 4.2 Services, Benefits, Limitations, and Prior Authorization : 4.2.8 Colorectal Cancer Screening

4.2.8
Procedure code G0122 may be reimbursed once every 5 years for services rendered to clients who are 50 years of age and older.
Procedure code G0106 may be reimbursed once every 5 years and is limited to one of the following diagnosis codes:
Procedure code G0120 may be reimbursed when billed with one of the following diagnosis codes:
Procedure code G0328 may be reimbursed once a year for services rendered to clients who are 50 years of age and older.
Procedure code G0122 may be reimbursed once every 5 years for services rendered to clients who are 50 years of age and older.
Refer to:
Subsection 8.2.16.1, “Colorectal Cancer Screening,” in the Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook (Vol. 2, Provider Handbooks).

Texas Medicaid & Healthcare Partnership
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