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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 : 9.2.12 Biofeedback Services

9.2.12
Biofeedback services are a benefit of Texas Medicaid for clients who are 4 years of age and older with the following conditions:
Biofeedback services may be reimbursed using procedure codes 90901 and 90911.
Biofeedback services are limited to a maximum of 18 sessions rendered by any provider for the lifetime of each client for each condition.
Biofeedback services that are not a benefit of Texas Medicaid are the following:
Procedure code 90901 or 90911 are limited to one service per day. The reimbursement for procedure codes 90901 and 90911 include all modalities of the biofeedback training performed on the same day, regardless of the time increments or the number of modalities performed.
Any device used during a biofeedback session is considered part of the procedure and will not be reimbursed separately.

Texas Medicaid & Healthcare Partnership
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