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December 2016 Texas Medicaid Provider Procedures Manual

Behavioral Health, Rehabilitation, and Case Management Services Handbook : 6 Physician, Psychologist, and Licensed Psychological Associate (LPA) Providers : 6.7 Electroconvulsive Therapy (ECT)

6.7
ECT (procedure code 90870) is the induction of convulsions by the passage of an electric current through the brain. It is used in the treatment of certain psychiatric disorders. ECT treatments are limited to one per day.
ECT performed by the following providers may be provided in the office, outpatient hospital, and inpatient hospital setting:
Authorization is not required for ECT services.
Psychotherapy billed in addition to ECT on the same day will be denied as part of another procedure on the same day.
Hospital subsequent care (procedure codes 99231, 99232, or 99233) billed on the same day as ECT is not a separate benefit. Hospital subsequent care for diagnoses unrelated to the ECT will be considered on appeal.

Texas Medicaid & Healthcare Partnership
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