Texas MedicaidMedium ImpactBilling Codes

January 2026 NDC-to-HCPCS Crosswalk Now Available for CAD Processing

Published January 31, 2026

AI Summary

A new NDC-to-HCPCS crosswalk is now available for clinician-administered drug (CAD) processing in Texas Medicaid. Prescribers can search or download the quarterly updated crosswalk to ensure accurate claim submissions for Medicaid-reimbursable drugs.

Action Required

Immediately: Providers and billing staff should access the CAD Search tool or download the NDC-to-HCPCS crosswalk Excel/text file from the Texas Medicaid portal. Use this crosswalk to verify correct HCPCS codes for all clinician-administered drugs before submitting Medicaid claims. Review quarterly updates to ensure accurate coding and prevent claim denials.

Plan Types

Medicaid

States

TX

Specialties

all-specialties