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December 2016 Texas Medicaid Provider Procedures Manual

Inpatient and Outpatient Hospital Services Handbook : 3 Inpatient Hospital (Medical/Surgical Acute Care Inpatient Facility) : 3.6 Utilization Review Process : 3.6.1 Admission Review : 3.6.1.2 Hospital-Based Ambulatory (HASC) Surgical Procedures

3.6.1.2
Inpatient admissions for surgical procedures listed as ambulatory surgical codes in the current fee schedule are denied if documentation does not support the need for the inpatient admission.

Texas Medicaid & Healthcare Partnership
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