Texas MedicaidMedium ImpactReimbursement
Reimbursement Rate Updates for Syphilis Testing Procedure Code 86593 Effective May 1, 2025, for FPP
Published January 27, 2026Effective May 1, 2025
AI Summary
Texas Medicaid is updating reimbursement rates for syphilis testing procedure code 86593 under the Family Planning Program, effective May 1, 2025. TMHP will automatically reprocess affected claims and adjustments will appear on future Remittance and Status Reports.
Action Required
Before May 1, 2025: Billing team should review the FPP Syphilis Testing procedure code spreadsheet for updated reimbursement rates for CPT 86593. Monitor future Remittance and Status Reports for automatic claim reprocessing adjustments. Contact TMHP at 800-925-9126 if questions arise about claim reprocessing.
Affected Billing Codes
86593
Plan Types
Medicaid
States
TX
Specialties
family-medicine, ob-gyn, internal-medicine, infectious-disease