Provider Alert! New Procedure Codes Available for Evoked Response Tests and Neuromuscular 

Provider Alert!

Provider Alert! New Procedure Codes Available for Evoked Response Tests and Neuromuscular 

Date: July 28, 2021

Attention: Audiologists, Radiologists, DME, and Lab Providers

Effective Date: July 1, 2021

Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated to the COVID-19 event.  TCHP reserves the right to update and/or change this information without prior notice due to the evolving nature of the COVID-19 event.

Call to action: Beginning July 1, 2021, Healthcare Common Procedure Coding System (HCPCS) procedure codes 92652 and 92653 (for evoked response tests and neuromuscular), will become available for audiologists, portable X-ray suppliers, radiological and physiological laboratory providers who render laboratory services to Texas Medicaid clients.

How this impacts providers: Claims submitted with dates of service from January 1, 2021, through June 8, 2021, may be reprocessed. Providers are not required to appeal the claims unless they are denied for additional reasons after the claims reprocessing is complete. When claims are reprocessed, providers may receive additional payment, which will be reflected on Remittance and Status (R&S) Reports.

Next steps for providers: Providers should share this communication with their staff.

If you have any questions, please email Provider Network Management at: providerrelations@texaschildrens.org.

For access to all provider alerts, log into:
www.thecheckup.org or www.texaschildrenshealthplan.org/for-providers.

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