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Effective for dates of service January 1, 2017 and forward, the Department of Social Services is incorporating the 2017 Healthcare Common Procedure Coding System (HCPCS) changes (additions, deletions and description changes) to its dental fee schedule. The Department is adding the following Current Dental Terminology (CDT) codes to the dental fee schedule: D1575 (Dist space maint, fixed) and D9992 (Case mgmt, care coordination). These CDT codes may require prior authorization (PA), dependent on provider type or specialty. Please refer to the fee schedule to determine the specific applicability of PA requirements.
The Department is making these changes to ensure that the dental fee schedule remains compliant with the Health Insurance Portability and Accountability Act (HIPAA). The changes apply to services reimbursed under all the HUSKY Health programs.
A new bulletin has been published. Please click here to view that bulletin.
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