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Coming October 1, 2020, ICD-10 Annual Updates

Last updated on 7/17/2020

Information posted July 17, 2020

Note:   Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to eligible clients. Administrative procedures such as prior authorization, pre-certification, referrals, and claims/encounter data filing may differ from traditional Medicaid (fee-for-service) and from MCO to MCO. Providers should contact the client's specific MCO for details.

On October 1, 2020, TMHP will implement the International Classification of Diseases, Tenth Revision (ICD-10) changes that are effective for dates of service on or after October 1, 2020. The update includes the Clinical Modification (ICD-10-CM) diagnosis code changes and the Procedure Coding System (ICD-10-PCS) surgical procedure code changes.

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