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December 2016 Texas Medicaid Provider Procedures Manual

Inpatient and Outpatient Hospital Services Handbook : 4 Outpatient Hospital (Medical and Surgical Acute Care Outpatient Facility) : 4.2 Services, Benefits, Limitations, and Prior Authorization : 4.2.8 Colorectal Cancer Screening : 4.2.8.3 * Sigmoidoscopies

4.2.8.3
Procedure code G0106 may be reimbursed once every 5 years and is limited to one of the following diagnosis codes:
 
*Diagnosis code Z0000 or Z0001 may be used for screening if no other diagnosis is appropriate for the service rendered, but no more frequently than recommended by the U.S. Preventive Services Task Force (USPSTF).

Texas Medicaid & Healthcare Partnership
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