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2007 HCPCS Updates
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Reimbursement Rates Assigned to Additional 2007 HCPCS Procedure Codes
Information posted October 15, 2007: On September 11, 2007, the procedure codes listed below were assigned reimbursement rates at a public rate hearing. The benefits and limitations for these codes were listed in the January 2007 Healthcare Common Procedure Coding System (HCPCS) Special Bulletin, No. 200. Click on the title to view the details.

·         Procedure code 1-92025 has a rate of $22.09.

·         Procedure code 1-94644 has a rate of $25.64.

·         Procedure code 1-94645 has a rate of $9.82.

·         Procedure code 1-94774 has a rate of $32.46.

·         Procedure code G-96040 has a rate of $26.73.

The rates will be effective October 17, 2007, for dates of service on or after January 1, 2007. Claims submitted with dates of services on or after January 1, 2007, and any of the procedure codes listed above will be reprocessed, and payments will be adjusted accordingly. No action on the part of the provider is necessary.

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

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