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December 2016 Texas Medicaid Provider Procedures Manual

Vision and HearingServices Handbook : 4 Vision Care Professionals : 4.3 Services, Benefits, Limitations, and Prior Authorization : 4.3.5 Vision Testing : 4.3.5.9 Special Ophthalmological Services

4.3.5.9
The following procedure codes may be reimbursed for special ophthalmological services:
 
Procedure codes 92081, 92082, and 92083 may be reimbursed once per day and twice per calendar year by any provider of any combination.
Procedure codes 92100, 92132, 92133, and 92134 may be reimbursed once per day and twice per calendar year by any provider.
Procedure code 92136 may be reimbursed twice per calendar year by any provider as follows:
The total component may be reimbursed along with an additional professional service when the service is performed on both eyes on the same date of service by the any provider.

Texas Medicaid & Healthcare Partnership
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