Texas MedicaidMedium ImpactBilling Codes
Update to “Texas Health Steps Therapeutic Dental Services” in 2026 HCPCS Special Bulletin
Published March 7, 2026
AI Summary
Texas Medicaid has added a new coding restriction for dental services: procedure code D9239 will be denied when billed on the same day as the new procedure code D9224. This creates a same-day billing limitation that will result in automatic claim denials.
Action Required
Immediately: Billing team must update system rules to prevent billing D9239 and D9224 on the same date of service for Texas Medicaid patients. Update encounter forms and EMR templates to alert providers of this restriction. Contact TMHP at 800-925-9126 for clarification if needed. Claims will be denied if both codes are billed on the same day.
Affected Billing Codes
D9224D9239
Plan Types
Medicaid
States
TX
Specialties
dentistry