Texas MedicaidMedium ImpactBilling Codes

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

Published April 21, 2026

AI Summary

The Texas Health and Human Services Commission has published an updated NDC-to-HCPCS crosswalk for April 2026 that helps providers identify correct HCPCS codes for clinician-administered drugs (CAD) to ensure accurate Medicaid claims submission. Providers can access the crosswalk through an online search tool or downloadable files.

Action Required

Immediately: Providers billing for clinician-administered drugs should review the April 2026 NDC-to-HCPCS crosswalk using the CAD Search tool or download the Excel/text files from the Data Files section. Update billing procedures to reference the current crosswalk for accurate HCPCS code selection on Medicaid claims. Contact vdp-cad@hhsc.state.tx.us with questions.

Plan Types

Medicaid

States

TX

Specialties

all-specialties