ICD-10 D2330 is officially defined as "Other benign neoplasm of skin of unspecified part of face." HCPCS D2330 is referenced in 7 tracked payer policy changes from EmblemHealth, Nevada Medicaid, and 2 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS D2330 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.
EmblemHealth is changing the frequency limit for dental fillings (D2140-D2430) from once every 6 months to once every 12 months on the same tooth by the same provider, effective January 1, 2027. This change also applies to inlays, onlays, veneers, crowns, or crown retainers performed after fillings on the same tooth within the last 12 months.
Effective July 1, 2026, Nevada Medicaid (Provider Type 22 - Dental) expanded coverage for adults 21+ to include diagnostic, preventative, periodontal, and operative services (fillings and crowns). All expanded services are now subject to a $1,000 per calendar year limit, with new error code 5751 applied to claims exceeding this threshold. Emergency and palliative care remain unlimited.
Effective July 1, 2026, Nevada Medicaid (Provider Type 22 - Dental) is expanding adult dental coverage for members 21+ to include diagnostic, preventative, periodontal, and operative services (fillings and crowns). All newly covered services are subject to a $1,000 per calendar year expenditure limit, with new error code 5751 applying to claims exceeding this threshold. Emergency and palliative care remain unlimited.
The Arkansas Department of Human Services increased dental reimbursement rates for 60 specific dental procedure codes effective retroactively to September 1, 2025, for patients identified with Intellectual and Developmental Disabilities (IDD). Billing teams must verify IDD status in the provider portal and expect retroactive claim adjustments back to 9/1/2025 after claims analysis is completed.
Effective August 1, 2025, the Pennsylvania Medical Assistance dental fee schedule lowers the age limit for D7280 and D7283 from 0-23 years to 0-22 years, adds quadrant reporting requirements for D1553 and D1556, and removes tooth number requirements for D1516 and D1517. Frequency limits also change for many procedure codes, such as D0340, which moves from 1 image per day to 1 per 3 years for patients under 21, and D2140 through D2394, which move to 1 per 180 days. Unit limits change for codes including D1510, D3220, D3410, D4210, D5520, and D7310.
This is historical material: an Arkansas Department of Human Services dental notice, dated June 30, 2026 and updated July 2, 2026, that raises Arkansas Medicaid dental rates under Act 1025 of 2025 for oral surgeons (provider type 79) and for children, retroactive to September 1, 2025. The notice lists about 150 procedure codes with their new rates, and the starred orthodontic rates were loaded incorrectly and were to be corrected in the system on July 9, 2026, with a claims analysis to follow. A separate notice on the developmental disability (IDD) rate increase, also retroactive to September 1, 2025, is still to come.
EmblemHealth is changing frequency limitations for dental procedures: fillings (D2140-D2430) will be limited to once every 12 months per tooth instead of every 6 months, and closure of oroantral fistula/sinus perforation (D7260-D7261) will be limited to once every 12 months per quadrant. The original March 7, 2025 effective date has been postponed with no new date announced yet.
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