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Procedure Code S5552 to Be Removed From TMPPM Healthy Texas Women Program Handbook

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On August 1, 2025, the Texas Medicaid & Healthcare Partnership (TMHP) will update the Texas Medicaid Provider Procedures Manual (TMPPM), Healthy Texas Women Program Handbook, section 2.3, “Services, Benefits, Limitations, and Prior Authorization,” and section 2.3.11, “HTW Plus Services, Benefits, and Limitations.”

TMHP will remove procedure code S5552 from the supplies and services and diabetes services procedure code tables. Providers can use procedure code J1815 instead of procedure code S5552.

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