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Clarification to “Oncology Radiation Treatment Procedure Codes Impacted by 2026 Annual HCPCS Update”

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This is a clarification to the article titled “Oncology Radiation Treatment Procedure Codes Impacted by 2026 Annual HCPCS Update” that was published on this website on April 2, 2026.

The original article stated that all impacted providers should submit timely claims for the affected services using procedure codes 77402, 77407, and 77412 in the office and clinic setting. The Texas Health and Human Services Commission (HHSC) has extended the 95-day filing deadline and the 120-day appeal deadline for the impacted oncology codes.

The Texas Medicaid & Healthcare Partnership (TMHP) will reprocess any affected claims. Providers do not need to appeal the claims unless the claims are denied for additional reasons after reprocessing is completed. This extension applies only to claims that are submitted for dates of service on or after January 1, 2026.

For more information, call the Texas Medicaid & Healthcare Partnership (TMHP) Contact Center at 800-925-9126.