Texas MedicaidMedium ImpactBilling Codes
June 2026 TMPPM Update for Newborn Services
Published May 9, 2026Effective June 1, 2026
AI Summary
Effective June 1, 2026, Texas Medicaid will remove CPT code 99360 from covered newborn services as it is not a reimbursable benefit. Providers must stop billing this code for Texas Medicaid patients to avoid claim denials.
Action Required
Before June 1, 2026: Billing team must update billing software to remove CPT code 99360 from Texas Medicaid newborn service claims. Update encounter forms and EMR templates to exclude this code for Medicaid patients. Contact individual MCOs for specific billing guidelines as procedures may vary between managed care organizations.
Affected Billing Codes
99360
Plan Types
Medicaid
States
TX
Specialties
pediatrics, family-medicine, ob-gyn