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December 2016 Texas Medicaid Provider Procedures Manual

Gynecological, Obstetrics, and Family Planning Title XIX Services Handbook : 3 Obstetric Services : 3.1 *Services, Benefits, Limitations, and Prior Authorization : 3.1.15 Birthing Centers—Facility Services

The following procedures may be performed by birthing center facilities:
Deliveries at a facility licensed as a birthing center by the Department of State Health Services (DSHS) must be billed with procedure code 59409.
If the client is discharged prior to delivery, procedure code S4005 may be billed by the facility for labor services only.

Texas Medicaid & Healthcare Partnership
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