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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 : 9.2.25 Developmental and Neurological Assessment and Testing : Assessment of Aphasia
Aphasia assessment (procedure code 96105) is a benefit of Texas Medicaid when medically necessary and is limited to diagnosis codes R4701, R4702, R471, R4781, and R4789. Procedure code 96105 is limited to two services per rolling year, any provider.

Texas Medicaid & Healthcare Partnership
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