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MedicaidBilling CodesHigh impact

First Quarter 2026 HCPCS Updates for the CSHCN Services Program

Texas Medicaid·TX·Coding
Effective date
Apr 1, 2026
We identified it
Apr 1, 2026
Days to comply

Summary

Texas Medicaid CSHCN Services Program is implementing Q1 2026 HCPCS updates effective April 1, 2026. Multiple codes are being added as benefits (pending rate hearings), added as non-covered, or discontinued entirely. Several new codes require prior authorization and have age restrictions.

Action Required

Action needed
By April 1, 2026: Billing team must update system to add prior authorization requirements for codes A6548, C8007, and C8011. Implement age restrictions for C9818, J1164, J8502 (18+ years) and Q5162 (12+ years). Stop billing discontinued codes C9145, C9307, C9308, L6000, L6010, L6020 after March 31, 2026. Mark non-covered codes as non-billable in system. Claims will be denied without proper prior auth or for discontinued codes after cutoff date.

Affected Billing Codes

A6548
C8007
C8008
C8009
C8010
C8011
C8012
C8013
C9818
G0681
G0682
G0683
G0684
J0463
J1164
J8502
L2221
Q5162
A2040
A2041
A2042
A2043
A2044
A2045
A4318
A4479
A8005
A8006
A9294
C1743
C9309
G0680
J1098
J1553
J3404
J9003
J9183
J9277
J9278
J9601
L5992
M0233
M0234
Q0238
Q4418
Q4419
Q4421
Q4422
Q4423
Q4424
Q4425
Q4426
Q4427
Q4428
Q4429
Q4435
Q4436
Q4437
Q4438
Q4439
Q4440
Q5161
C9145
C9307
C9308
L6000
L6010
L6020
G0567
J0681
J7528