Claims with the following dates of service and diagnosis codes will be reprocessed, and payments will be adjusted accordingly.
|
Diagnosis Codes – Dates of Service on or After October 1, 2006 |
|
64900 |
64902 |
64903 |
64904 |
64910 |
|
64912 |
64913 |
64914 |
64920 |
64922 |
|
64923 |
64924 |
64930 |
64932 |
64933 |
|
64934 |
64940 |
64942 |
64943 |
64944 |
|
64950 |
64953 |
64960 |
64962 |
64963 |
|
64964 |
|
Diagnosis Codes – Dates of Service on or After October 1, 2008 |
|
64970 |
64973 |
67800 |
67803 |
67810 |
|
67813 |
67900 |
67902 |
67903 |
67904 |
|
67910 |
67912 |
67913 |
67914 |
V1521 |
|
V2385 |
V2386 |
V2830 |
V2881 |
V2882 |
|
V2889 |
V8901 |
V8902 |
V8903 |
V8904 |
|
V8905 |
V8909 |
|
Diagnosis Codes – Dates of Service on or After October 1, 2009 |
|
67010 |
67012 |
67014 |
67020 |
67022 |
|
67024 |
67030 |
67032 |
67034 |
67080 |
|
67082 |
67084 |
Reminder: Medicaid-covered services during the PE period are limited to medically necessary services provided during pregnancy and certain preventive services such as family planning. Labor, delivery, inpatient services, and Texas Health Steps (THSteps) medical or dental services are not covered during the PE period.
Providers may refer to the 2009 Texas Medicaid Provider Procedures Manual, section 4.3.4, “Presumptive Eligibility (PE),” for additional information about clients who are presumptively eligible, and PE guidelines for providers. : Post on the TMHP home page