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June 2026 TMPPM Update for Newborn Services
Effective date
Jun 1, 2026
Identified
May 9, 2026
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.
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What to do
Action · 3 steps
01Before June 1, 2026: Billing team must update billing software to remove CPT code 99360 from Texas Medicaid newborn service claims.
02Update encounter forms and EMR templates to exclude this code for Medicaid patients.
03Contact individual MCOs for specific billing guidelines as procedures may vary between managed care organizations.
Codes mentioned
99360
Original notice
June 2026 TMPPM Update for Newborn Services
tmhp.com · Always check the source before changing claims.