Subject Information Letter No. 2026-11 ICD10
AI Summary
Texas HHSC has updated their Related Conditions List by removing invalid ICD-10 diagnosis codes and adding new corresponding ICD-10 codes. This replaces the previous 2024 guidance and affects billing for persons with related conditions in Texas Medicaid programs.
Action Required
Immediately: Billing team must access the updated ICD-10 codes list via the provided link and update billing software to remove invalid ICD-10 codes from the Related Conditions List. Replace with new corresponding ICD-10 diagnosis codes as specified in IL 2026-11. Update encounter forms and coding references. Contact LTSS_Policy@hhs.texas.gov with 'Information Letter No. 2026-11' in subject line for questions. Failure to use valid codes will result in claim denials.
Plan Types
Medicaid
States
TX
Specialties
all-specialties