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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 : 9.2.40 Laboratory Services : Blood Counts
Texas Medicaid considers a baseline CBC appropriate for the evaluation and management of existing and suspected disease processes. CBCs should be individualized and based on client history, clinical indications, or proposed therapy and will not be reimbursed for screening purposes.
Refer to:
Subsection 2.2.7, “Complete Blood Count (CBC),” in the Radiology and Laboratory Services Handbook (Vol. 2, Provider Handbooks) for more information about blood counts.

Texas Medicaid & Healthcare Partnership
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