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Procedure Code L6028 Update for Orthotists Enrolled in the CSHCN Services Program

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Beginning April 2, 2026, procedure code L6028 is no longer reimbursable for orthotists who are enrolled in the Children with Special Health Care Needs (CSHCN) Services Program for dates of service on or after April 1, 2025.

The Texas Medicaid & Healthcare Partnership (TMHP) may reimburse prosthetists and durable medical equipment (DME) suppliers for procedure code L6028.

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