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December 2016 Texas Medicaid Provider Procedures Manual

Clinics and Other Outpatient Facility Services Handbook : 6 Renal Dialysis Facility : 6.2 Services, Benefits, Limitations, and Prior Authorization : 6.2.4 Facility Revenue Codes

The following services are a benefit for renal dialysis centers billing under reimbursement methodology I composite rate or II dealing direct.
Method II is limited to clients who are 20 years of age or younger.
The facility charge must not include the charge for the physician’s routine supervision.

Texas Medicaid & Healthcare Partnership
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