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Procedure Code 86593 To Become a Payable Benefit for HHSC Family Planning Program (FPP) Services

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Effective July 31, 2025, laboratory service procedure code 86593 will be added as a payable benefit for Texas Health and Human Services Commission (HHSC) Family Planning Program (FPP) services for dates of service on or after May 1, 2025. This benefit will be available to clients of all ages when services are provided in the office setting.

The Texas Medicaid & Healthcare Partnership (TMHP) will reprocess any affected claims with dates of service from May 1, 2025, through July 31, 2025. If applicable, TMHP will issue additional payments, which will be reflected on future Remittance and Status (R&S) Reports.

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