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Updated 2024 ICD-10-PCS Procedure Codes Effective April 1, 2024

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Note: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to Medicaid members who are enrolled in their MCO. Administrative procedures, such as prior authorization, precertification, referrals, and claims and encounter data filing, may differ from traditional Medicaid (fee-for-service) and from MCO to MCO. Providers should contact the member’s specific MCO for details.

Effective for dates of service on or after April 1, 2024, the 2024 International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) surgical procedure codes will be updated.

The ICD-10-PCS procedure codes are inpatient hospital procedure codes and must be submitted, as applicable, only on inpatient hospital claims.

Note: For professional and outpatient procedures and services, providers must continue to use the American Medical Association (AMA) Current Procedural Terminology (CPT) Manual and the Centers for Medicare and Medicaid (CMS) Healthcare Common Procedure Coding System (HCPCS) Manual.

The following ICD-10-PCS inpatient hospital surgical procedure code changes are for inpatient hospital providers. Providers should refer to the appropriate copyright holder’s code listing for descriptions of the new, discontinued, and revised procedure codes indicated below. All discontinued procedure codes will not be reimbursed for dates of service on or after April 1, 2024.

Note: These procedure codes are surgical codes used to assign the proper diagnosis-related group (DRG) for an inpatient hospital stay and are processed as informational only.

 

New PCS Surgical Procedure Codes
00H005Z02583ZF07TP4ZG097N0ZZ097N7ZZ097N8ZZ0DBF4ZG
0DBG4ZG0DBJ4ZG0DBL4ZG0DBM4ZG0DBN4ZG0DTF4ZG0DTG4ZG
0DTJ4ZG0DTL4ZG0DTM4ZG0DTN4ZG0DXU0ZV0DXU0ZW0DXU0ZX
0DXU0ZY0DXU4ZV0DXU4ZW0DXU4ZX0DXU4ZY0FB04ZG0FB14ZG
0FB24ZG0FBG4ZG0FT04ZG0FT14ZG0FT24ZG0FT44ZG0FTG4ZG
0TT04ZG0TT14ZG0TT24ZG3E0L317XW01329XX2KXP9 
Discontinued PCS Surgical Procedure Codes
0X6L0Z20X6M0Z20Y6Q0Z20Y6Q0Z2GZB1ZZZGZB3ZZZ 
Revised PCS Surgical Procedure Codes
5A0935A5A0945A5A0955A    

For more information, call the TMHP Contact Center at 800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 800-568-2413.