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New Taxonomy Code for Allopathic and Osteopathic Physicians Providing Medical Genetics Services Effective October 1, 2023

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Note: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to Medicaid members who are enrolled in their MCO. Administrative procedures, such as prior authorization, precertification, referrals, and claims and encounter data filing, may differ from traditional Medicaid (fee-for-service) and from MCO to MCO. Providers should contact the member’s specific MCO for details.

Effective October 1, 2023, the Texas Medicaid & Healthcare Partnership (TMHP) will add a new taxonomy code associated with allopathic and osteopathic physicians providing medical genetics services. The new taxonomy code will apply to Texas Medicaid and the Children with Special Health Care Needs (CSHCN) Services Program.

New Taxonomy Code

The following taxonomy code will be added for allopathic & osteopathic physicians providing medical genetics services:

Provider TypeTaxonomy Code
Allopathic and osteopathic physicians; medical genetics; medical biochemical genetics207SG0207X – A medical biochemical geneticist specializes in the diagnosis, evaluation, prevention, and treatment of patients with biochemical genetic disorders, defined as inborn errors of metabolism at any age of onset. Training does not include those skills and knowledge necessary to direct a clinical laboratory.

Providers may refer to the Washington Publishing Company website for complete descriptions of the taxonomy codes.

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