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2012 Texas Medicaid Provider Procedures Manual

Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook : 8. Physician : 8.2 Services, Benefits, Limitations, and Prior Authorization : 8.2.73 Telemedicine Services : Distant Site
A distant site is the location of the provider rendering the service. The distant-site provider must be a physician enrolled as a Texas Medicaid provider.
The distant-site provider must maintain medical record documentation that:
The following procedure codes, when billed with the GT modifier, are a benefit for distant-site providers:

Texas Medicaid & Healthcare Partnership
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