The following information is effective for dates of service on or after July 1, 2009.
2009 HCPCS Additions
Procedure Codes
The following is a list of new procedure codes that do not replace existing procedure codes:
|
Procedure Code |
Medicaid Allowable |
CSHCN Services Program Allowable |
|
1-Q4115 |
NC |
NC |
|
1-Q4116 |
NC |
NC |
|
1-Q2023 |
NC |
MR |
|
1-C9250 |
NC |
NC |
|
1-C9251 |
NC |
NC |
|
1-C9252 |
NC |
NC |
|
1-C9253 |
NC |
NC |
|
9-C9360 |
NC |
NC |
|
9-C9361 |
NC |
NC |
|
9-C9362 |
NC |
NC |
|
9-C9363 |
NC |
NC |
|
9-C9364 |
NC |
NC |
|
(NC) Not covered. (MR) Manually reviewed. |
CSHCN Services Program prior authorization is required for procedure code 1-Q2023. The product name and the manufacturer or the National Drug Code (NDC) must be used to identify the product. Procedure code 1-Q2023 is not reimbursed by Texas Medicaid.
Modifiers
The following table lists the new modifiers that are effective for dates of service on or after July 1, 2009. Providers may contact the appropriate copyright holder to obtain modifier descriptions.
Procedure Code Description Changes
The descriptions for procedure codes 9-C9358 and 1-C9359 have changed. Providers may contact the appropriate copyright holder to obtain procedure code descriptions.
For more information, call the TMHP Contact Center at 1-800-925-9126 or the CSHCN Services Program Contact Center at 1-800-568-2413.