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December 2016 Texas Medicaid Provider Procedures Manual

Radiology and Laboratory Services Handbook : 3 Radiological and physiological laboratory services : 3.2 Services, Benefits, Limitations, and Prior Authorization : 3.2.7 Additional Radiology and Physiological Laboratory Services : 3.2.7.7 Mammography Services

3.2.7.7
The following procedure codes will be denied if the provider does not have a BRC mammography certification on file:
 
Refer to:
Subsection 9.2.15.5, “Prognostic Breast and Gynecological Cancer Studies” in Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook (Vol. 2, Provider Handbooks) for more information about mammography services.

Texas Medicaid & Healthcare Partnership
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