Skip to main content

You must have JavaScript enabled in order to access this part of the site. Please enable JavaScript and then reload this page in order to continue.

Diagnosis Codes Added for Procedure Codes J3357 and J3358 Effective August 1, 2026

Last updated on

Effective August 1, 2026, claims for Stelara (procedure codes J3357 and J3358) may be reimbursed when they are submitted with the following added diagnosis codes:

Diagnosis Codes for Psoriasis Arthritis (PsA)
L4050L4051L4052L4053L4054L4059  
Diagnosis Codes for Plaque Psoriasis (PS)
L400L401L402L403L404L408L409 
Diagnosis Codes for Crohn’s Disease (CD)
K5000K50011K50012K50013K50014K50018K50019K5010
K50111K50112K50113K50114K50118K50119K5080K50811
K50812K50813K50814K50818K50819K5090K50911K50912
K50913K50914K50918K50919    
Diagnosis Codes for Ulcerative Colitis (UC)
K5100K51011K51012K51013K51014K51018K51019K5120
K51211K51212K51213K51214K51218K51219K5130K51311
K51312K51313K51314K51318K51319K5180K51811K51812
K51813K51814K51818K51819K5190K51911K51912K51913
K51914K51918K51919     

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.