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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

9.2.7
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.

Texas Medicaid & Healthcare Partnership
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