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2007 HCPCS Updates
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Additional 1st Quarter HCPCS Revisions for the Texas Medicaid Program
Information posted April 2, 2007: On April 1, 2007, TMHP will implement first quarter 2007 Healthcare Common Procedure Coding System (HCPCS) additions, changes, and deletions that are effective for dates of service on or after April 1, 2007, for the Texas Medicaid fee-for service and Medicaid Managed Care programs. Click the title to view the details.

The following procedure codes are discontinued and may not be submitted for reimbursement:

Discontinued Procedure Codes

1-S0167

1/I/T-S0820

1-S1025

2/8/F-S2213

1-S2250

 

The descriptions for procedure codes 1-S0180 and 1-S9351 have changed. Please contact the appropriate copyright holder to obtain the procedure code descriptions.

The following table lists new procedure codes that do not replace existing procedure codes. Procedure codes that require a rate hearing are indicated in the “Allowable” column.

Procedure Code

Allowable

Program

1-S0270

NC

N/A

1-S0271

NC

N/A

1-S0272

NC

N/A

1-S0273

NC

N/A

1-S0274

NC

N/A

5-S3618

*

M, MC

1-T1503

NC

N/A

(*) Allowable amount pending rate hearing.
(NC) Not covered. (N/A) No applicable program. (M) Medicaid fee-for-service program. (MC) Medicaid Managed Care program.

For additional questions, call the TMHP Contact Center at 1-800- 925-9126.

 

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