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December 2016 Texas Medicaid Provider Procedures Manual

Clinics and Other Outpatient Facility Services Handbook : 2 Birthing Center : 2.2 Services, Benefits, Limitations, and Prior Authorization

Birthing centers may only be reimbursed by Texas Medicaid for their facility labor and delivery services using the following procedure codes:
If the client is discharged prior to delivery, procedure code S4005 may be billed by the facility for labor services only.
Refer to:
Subsection 9.2.35, “Immunization Guidelines and Administration” in the Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook for additional information about immunization administration.

Texas Medicaid & Healthcare Partnership
CPT only copyright 2014 American Medical Association. All rights reserved.