ICD-10 D2932 is officially defined as "Benign neoplasm of left epididymis." HCPCS D2932 is referenced in 4 tracked payer policy changes from Nevada Medicaid, Pennsylvania Medicaid (DHS), and 1 other payer. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS D2932 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.
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.
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.
CareSource has updated dental coverage policies for Georgia Medicaid through its partnership with Skygen, effective November 1, 2025. This is a corrected revision of an October 1, 2025 notification that contained errors; the clinical criteria have been revised with accurate information. Dental practices in Georgia must verify all affected procedure codes against the updated Skygen policies in the DentalHub portal.
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