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Update to “Texas Health Steps Therapeutic Dental Services” in 2026 HCPCS Special Bulletin

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Texas Medicaid has identified a new procedure code limitation for the “Texas Health Steps Therapeutic Dental Services” section of the 2026 Healthcare Common Procedure Coding System Special Bulletin.

Procedure code D9224 was listed as a new procedure code for Texas Health Steps therapeutic dental services.

The Texas Medicaid & Healthcare Partnership (TMHP) will deny claims for procedure code D9239 when providers render the service on the same day as procedure code D9224.

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.