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Reimbursement Rate Updates for Certain HCPCS Procedure Codes Effective April 1, 2025

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Effective for dates of service on or after April 1, 2025, Texas Medicaid has updated reimbursement rates for the following 2025 first quarter Healthcare Common Procedure Coding System (HCPCS) procedure codes:

The Texas Medicaid & Healthcare Partnership (TMHP) will identify and reprocess any affected claims. Any adjustment to claims reimbursement will appear on a future Remittance and Status (R&S) Report.

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