Texas MedicaidMedium ImpactBilling Codes
Coming April 2026: First Quarter HCPCS Updates to Texas Medicaid Procedure Codes
Published February 14, 2026Effective April 1, 2026
AI Summary
Texas Medicaid will implement quarterly HCPCS procedure code updates on April 1, 2026, including code additions, revisions, and discontinuations. Discontinued codes will no longer be covered benefits, and new codes won't be reimbursed until Texas HHSC reviews them and holds rate hearings.
Action Required
By April 1, 2026: Billing team must review the upcoming HCPCS code changes when published and update billing system to remove discontinued procedure codes. Monitor for notifications about new code approvals and rate implementations. Contact TMHP at 800-925-9126 for specific code details when available.
Plan Types
Medicaid
States
TX
Specialties
all-specialties