Texas MedicaidHigh ImpactBilling Codes

First Quarter 2026 HCPCS Updates for Texas Medicaid

Published April 2, 2026Effective April 1, 2026

AI Summary

Texas Medicaid is implementing first quarter 2026 HCPCS updates effective April 1, 2026, adding new covered and non-covered procedure codes with specific age limitations and prior authorization requirements. Several existing codes are being discontinued with direct replacements required.

Action Required

By April 1, 2026: Billing team must update system to add new covered and non-covered procedure codes, implement age restrictions for specific codes (18+ for C9818, J1164, J3404, J8502, J9183, J9278, J9601; 12+ for J9277; birth-20 for L2221), configure prior authorization requirements for C8007, C8011, J3404, and L2221, replace discontinued codes C9145 with J8502, C9307 with J9601, and C9308 with J9278, and restrict J9601 to diagnosis codes C9000 and C9002. Update encounter forms and train staff on new requirements. Claims will be denied for discontinued codes after March 31, 2026.

Affected Billing Codes

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

Plan Types

Medicaid

States

TX

Specialties

oncology, wound-care, orthopedics, all-specialties