Obstetric Services J3490 Discontinued
Limitations for added procedure codes: Medical services procedure code J1725 may be reimbursed to NP, CNS, PA, physician, and certified nurse midwife (CNM) providers for services rendered in the office setting; to DME medical supplier providers for services rendered in the home setting; and to hospital providers for services rendered in the outpatient hospital setting. Procedure code J1725 replaces procedure code J3490 with modifier TH and procedure code Q2042.
Procedure code J1725 may be reimbursed when billed with diagnosis code V2341.
Important: Procedure code J3490 with modifier TH will no longer be reimbursed for the compounded form of the hydroxyprogesterone caproate injection.
Providers may refer to the 2011 Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook, Section 220.127.116.11, “17-Alpha Hydroxyprogesterone Caproate,” for more information.