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December 2016 Texas Medicaid Provider Procedures Manual

Vision and HearingServices Handbook : 2 Nonimplantable Hearing Aid Devices and Related Services : 2.2 Services, Benefits, Limitations, and Prior Authorization : 2.2.3 Audiology and Audiometry Evaluation and Diagnostic Services : 2.2.3.2 Vestibular Evaluations

2.2.3.2
Vestibular evaluations are a benefit when medically necessary and provided by a Medicaid-enrolled physician or nonphysician provider licensed to perform this service.
The following procedure codes for vestibular evaluations are benefits:
 

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