Question 1

What insurance policy changes affect HCPCS D0220?

Accepted Answer

There are 6 tracked policy changes affecting HCPCS D0220, including updates from Pennsylvania Medicaid (DHS), MassHealth, Arkansas Medicaid. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for HCPCS D0220?

Accepted Answer

Payers that have issued tracked updates for HCPCS D0220 include: Pennsylvania Medicaid (DHS), MassHealth, Arkansas Medicaid, Independence Blue Cross.

Question 3

How do I get notified when HCPCS D0220 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to HCPCS D0220. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for HCPCS D0220?

Accepted Answer

Payers revise policies for individual billing codes to align with updated clinical guidelines, CMS rule changes, fraud and abuse prevention measures, or network cost-management goals. Changes can affect medical necessity criteria, place-of-service restrictions, bundling rules, or whether a code requires prior authorization.

D0220 Insurance Policy Changes

MAB2026080601

Dental Bulletin 58: Adult Dental Benefit Annual Maximum

Dental Rate Increase Retro Effective 9/1/2025 for Services Rendered to Individuals with Developmental Disabilities (IDD)

MA04.002, Extraction of Bony Impacted Teeth and Exposure of Impacted Teeth

04.00.05d, Extraction of Bony Impacted Teeth and Exposure of Impacted Teeth

04.00.05d, Extraction of Bony Impacted Teeth and Exposure of Impacted Teeth