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December 2016 Texas Medicaid Provider Procedures Manual

Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook : 9 Physician : 9.2 Services, Benefits, Limitations, and Prior Authorization : 9.2.7 Abdominal Aortic Aneurysm Screening

Procedure code G0389 is a benefit for male clients who are 65 through 75 years of age with diagnosis code Z0000, Z0001, or Z87891.
Procedure code G0389 is limited to once per lifetime any provider.

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