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Clarification to “Emergency Contraception Reimbursed for HTW and Family Planning Program Providers Effective May 1, 2024”

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This notice serves as a clarification to an article titled “Emergency Contraception Reimbursed for HTW and Family Planning Program Providers Effective May 1, 2024,” which was published on this website on April 3, 2024.

Healthy Texas Women (HTW) and Family Planning Program providers must use procedure code J3490 when billing for the provision of emergency contraception and not use procedure code S4993.

For dates of service on or after May 1, 2024, claims for emergency contraception billed using procedure code S4993 may be resubmitted with procedure code J3490 for payment consideration.

For more information, call the TMHP Contact Center at 800-925-9126.