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Procedure Codes 64486, 64487, 64488, and 64489 to Become Benefits for Surgery and Ambulatory Surgical Center Providers Beginning September 1, 2021

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Beginning September 1, 2021, procedure codes 64486, 64487, 64488, and 64489 (for transversus abdominis plane block services) will become benefits for providers who render surgery and ambulatory surgical center services to Children with Special Health Care Needs (CSHCN) Services Program clients in an inpatient or outpatient hospital setting.

Note: These procedure codes bundle with most surgical procedures, and there is no additional reimbursement when performed together by the same provider for the same beneficiary, except for reimbursement to the anesthesia provider.

Procedure codes 64486, 64487, 64488, and 64489 are benefits for the following providers and places of service:

Place of Service

Provider Type

Inpatient and Outpatient Hospital

Certified registered nurse anesthetist/anesthesia assistant, Certified registered nurse anesthetist (CRNA) Group, Physicians, Ambulatory surgical centers

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