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Surgical Services Procedure Code 45399 to Become a Benefit of CSHCN Services Program Effective October 1, 2024

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Effective for dates of service on or after October 1, 2024, procedure code 45399 for “surgical services for unlisted procedure, colon” will become a benefit of the Children with Special Health Care Needs (CSHCN) Services Program.

Procedure code 45399 may be reimbursed for the following providers and service locations:

  • Physicians for services rendered in the hospital setting
  • Ambulatory surgical center providers and hospital-based ambulatory surgical centers in the outpatient hospital setting

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