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The annual Healthcare Common Procedure Coding System (HCPCS) additions, changes, and deletions are effective for dates of service on or after January 1 each year. Click here to view the current HCPCS details.
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The annual International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) additions, revisions, and deletions are effective for dates of service on or after October 1 each year. Click here to view the ICD-9-CM details.
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To align with Centers for Medicare and Medicaid Services (CMS) requirements for easy access to all Medicaid fees, the Texas Medicaid & Healthcare Partnership (TMHP) is reviewing all procedure codes to confirm Texas Medicaid type of service coverage and appropriate place of service and provider type restrictions. TMHP will publish quarterly articles notifying providers of type of service and place of service restriction changes. Provider type changes will be included in the fee schedules that are updated quarterly. Providers are encouraged to determine provider type coverage changes by reviewing the fee schedules before submitting claims. This web page will contain the quarterly updates as they are completed. Click here to see the current procedure code updates.
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