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Benefit Change for Procedure Code J0800 for the CSHCN Services Program

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Effective for dates of service on or after September 1, 2020, procedure code J0800 will be limited to Children with Special Health Care Needs (CSHCN) Services Program clients who are two years of age and younger for medical services.

In addition, procedure code J0800 will be restricted to diagnosis codes G40821, G40822, G40823, or G40824.

For more information, call the TMHP-CSHCN Services Program Contact Center at 800-568-2413.