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December 2016 Texas Medicaid Provider Procedures Manual

Radiology and Laboratory Services Handbook : 2 Independent Laboratory : 2.2 Services, Benefits, Limitations, and Prior Authorization : 2.2.13 Microbiology

The following microbiology procedure codes may be reimbursed by Texas Medicaid:
* CLIA Waived test
+ Add-on code
The following procedure codes are limited to one per day by the same provider:
Providers are encouraged to reference the American Board of Internal Medicine (ABIM) Foundation’s “Choosing Wisely” lists to determine appropriateness of laboratory tests.

Texas Medicaid & Healthcare Partnership
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