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December 2016 Texas Medicaid Provider Procedures Manual

Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook : 7 Maternity Service Clinics (MSC) : 7.2 Services, Benefits, Limitations, and Prior Authorization : 7.2.3 Postpartum Care Visit

7.2.3
Postpartum care provided by MSCs must be billed using procedure code 59430. A maximum of 1 postpartum visit is allowed per pregnancy.
Refer to:
Subsection 3, “Obstetric Services,” in the Gynecological and Reproductive Health and Family Planning Services Handbook for billing requirements.

Texas Medicaid & Healthcare Partnership
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