MedicaidBilling CodesMedium impact
May 2026 TMPPM Update for Immunosuppressive Drugs
Texas Medicaid·TX · Nephrology, Gastroenterology, Cardiothoracic Surgery +2 more·General
Effective date
May 1, 2026
We identified it
Apr 13, 2026
Summary
Texas Medicaid is adding coverage for Mycophenolate mofetil (HCPCS code J7528) to the Immunosuppressive Drugs section, effective May 1, 2026. This drug is used to prevent organ rejection in kidney, liver, and heart transplant patients.
Action Required
By May 1, 2026: Billing team must update billing system to include HCPCS code J7528 for Mycophenolate mofetil administration. Add code to immunosuppressive drug inventory and encounter forms. Contact patient's specific MCO for prior authorization requirements as administrative procedures may differ between MCOs.