Provider Alert! COVID-19 Procedure Code Updates for Second Quarter 2022 HCPCS

Date: October 12, 2022

Attention: All Providers

Effective Date: June 23, 2022

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: Texas Children Health Plan (TCHP) would like to inform providers that on June 23, 2022, the Texas Medicaid & Healthcare Partnership (TMHP) implemented the second quarter 2022 Healthcare Common Procedure Coding System additions, which include new COVID-19 procedure codes.

How this impacts providers:

COVID-19 Vaccine Administration for Dental Providers

The following procedure codes will be benefits of Texas Medicaid when provided by a federally qualified health center (FQHC) and Texas Health Steps dental providers in the office setting:

Note: Effective dates align with the date the procedure codes received approval by the American Dental Association.

The following procedure codes will be benefits of Texas Medicaid and the Children with Special Health Care Needs (CSHCN) when provided by a federally qualified health center (FQHC) and Texas Health Steps dental providers in the office and outpatient setting:

Note: Effective dates align with the date the procedure codes received approval by the American Dental Association.

COVID-19 Testing Procedure Code 87913 Effective February 21, 2022

Procedure code 87913 is a benefit of Texas Medicaid and the Healthy Texas Women (HTW) Program for the following providers and places of service:

Procedure code 87913 is a benefit of the CSHCN Services Program for the following providers and

places of service:

Procedure code 87913 will also be a benefit of the Family Planning Program for FQHC and family planning clinic providers.

Next steps for providers: Providers are encouraged to 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