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2008 HCPCS Updates
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Benefit Update for Procedure Code W-D0145
Information posted February 18, 2008: This is an update to the 2007 HCPCS Special Bulletin, No. 200, and also to the 2008 Texas Medicaid Provider Procedures Manual, Section 19.15.2, “Diagnostic Services,” on page 19-10. The bulletin originally stated that effective for dates of service on or after January 1, 2007, procedure code D0145 is a benefit of the Texas Medicaid Program and the Children with Special Health Care Needs (CSHCN) Services Program for dental providers. Click on the title to view the details.

Update: Effective for dates of service on or after January 1, 2007, through February 29, 2008, procedure code W-D0145 is a benefit of the Texas Medicaid Program and the CSHCN Services Program and must complete the rate hearing process for an appropriate reimbursement rate to be established. Once the reimbursement rate is adopted, all claims submitted for reimbursement between January 1, 2007, and February 29, 2008, with procedure code W-D0145, will be reprocessed and payments adjusted accordingly. No further action on the part of the provider is necessary.

Effective March 1, 2008, benefit requirements will change for procedure code W-D0145. Providers will be informed of these changes in a separate banner message.

The information concerning procedure code D0145 in the 2008 CSHCN Services Program Provider Manual is correct and does not require an update.

For more information, call the TMHP Contact Center at 1-800-925-9126, or the TMHP-CSHCN Contact Center at 1-800-568-2413.

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