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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 : 9.2.39 Clinician-Administered Drugs : 9.2.39.16 Chelating Agents

9.2.39.16
Chelating agent procedure codes J0470, J0600, J0895, and J3520 are benefits of Texas Medicaid when billed with an appropriate diagnosis code.
9.2.39.16.1
Procedure code J0470 is a benefit when billed with one of the following diagnosis codes:
 
9.2.39.16.2
Procedure code J0600 is a benefit when billed with one of the following diagnosis codes:
 
9.2.39.16.3
Procedure code J0895 must be billed with one of the following diagnosis codes:
 
9.2.39.16.4
Procedure code J3520 is a benefit when billed with one of the following diagnosis codes:
 
Procedure codes J0470, J0600, J0895, and J3520 are denied if they are billed with diagnosis codes other than the codes listed above.

Texas Medicaid & Healthcare Partnership
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