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Hearing Aid Procedure Codes 92628 and 92631 to Be Updated

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Effective August 27, 2026, the Texas Medicaid & Healthcare Partnership (TMHP) will update hearing aid procedure codes 92628 and 92631 to allow billing on the same day as other hearing aid procedure codes.

For dates of service on or after September 1, 2026, TMHP will reimburse claims when:

  • Procedure code 92628 is billed on the same day as procedure codes 92631 and 92632.
  • Procedure code 92631 is billed on the same day as procedure codes 92628 and 92629.

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.