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External Cephalic Version No Longer a Benefit for ASC Providers Effective September 1, 2020

Last updated on 7/20/2020

Information posted July 17, 2020

Note: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to eligible clients. Administrative procedures such as prior authorization, pre-certification, referrals, and claims/encounter data filing may differ from traditional Medicaid (fee-for-service) and from MCO to MCO. Providers should contact the client's specific MCO for details.

Effective for dates of service on or after September 1, 2020, external cephalic version (procedure code 59412) will no longer be a benefit for ambulatory surgical center (ASC) providers.

For more information, call the TMHP Contact Center at 800-925-9126.