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Woundex to Become a Payable Benefit Effective September 1, 2022

Last updated on 8/2/2022

Effective for dates of service on or after September 1, 2022, Woundex (procedure code Q4163) will become a payable benefit of Texas Medicaid and the Children with Special Health Care Needs (CSHCN) Services Program for services rendered in an office setting.

To be reimbursed for this service, providers must submit claims with procedure code Q4163 along with one or more of the following procedure codes on the same date of service:

Procedure Codes

15271

15272

15273

15274

15275

15276

15277

15278

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