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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 : 4.2.8.4 * Colonoscopies

4.2.8.4
Procedure code G0120 may be reimbursed once every two years for clients who meet the definition of high-risk. Procedure code G0120 must be submitted with one of the following diagnosis codes:
 
Refer to:
Subsection 9.2.15.2, “Colorectal Cancer Screening” in the Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook (Vol. 2, Provider Handbooks).

Texas Medicaid & Healthcare Partnership
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