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Updated 2024 ICD-10-PCS Procedure Codes Effective April 1, 2024

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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 for dates of service on or after April 1, 2024, the 2024 International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) surgical procedure codes will be updated.

The ICD-10-PCS procedure codes are inpatient hospital procedure codes and must be submitted, as applicable, only on inpatient hospital claims.

Note: For professional and outpatient procedures and services, providers must continue to use the American Medical Association (AMA) Current Procedural Terminology (CPT) Manual and the Centers for Medicare and Medicaid (CMS) Healthcare Common Procedure Coding System (HCPCS) Manual.

The following ICD-10-PCS inpatient hospital surgical procedure code changes are for inpatient hospital providers. Providers should refer to the appropriate copyright holder’s code listing for descriptions of the new, discontinued, and revised procedure codes indicated below. All discontinued procedure codes will not be reimbursed for dates of service on or after April 1, 2024.

Note: These procedure codes are surgical codes used to assign the proper diagnosis-related group (DRG) for an inpatient hospital stay and are processed as informational only.


New PCS Surgical Procedure Codes
Discontinued PCS Surgical Procedure Codes
Revised PCS Surgical Procedure 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.