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Updates to the Long-Term Care Bill Code Crosswalk for Nursing Facility and Hospice Services Effective September 1, 2025

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Effective September 1, 2025, the Texas Health and Human Services Commission (HHSC) has updated the Long-Term Care (LTC) Bill Code Crosswalk. The update reflects new billing requirements for services provided to individuals with ICD-10 diagnosis code B20 (HIV disease). Providers must use new revenue code 0160 when submitting claims billing for the enhanced nursing facility daily care rate.

The updated Bill Code Crosswalk is available on the HHSC LTC Bill Code Crosswalks page.

For more information, call the Texas Medicaid & Healthcare Partnership (TMHP) LTC Help Desk at 800-626-4117.