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Correction to Diagnosis Code for Darbepoetin Alfa in the Outpatient Drug Services Handbook

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The Texas Medicaid & Healthcare Partnership (TMHP) has corrected the Texas Medicaid Provider Procedures Manual (TMPPM), Outpatient Drug Services Handbook, subsection 6.58.1, “Darbepoetin Alfa.”

The diagnosis code D462 was incorrectly listed. The correct diagnosis code is D4621. This correction has been made in the February TMPPM release.

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

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.