MedicaidBilling CodesMedium impact
Hospital Dental Billing
Missouri Medicaid (MO HealthNet)·MO · Dentistry·Provider Notice
Effective date
Apr 19, 2024
We identified it
Jun 20, 2026
Summary
MO HealthNet Division updated billing guidance for hospital dental procedures performed in outpatient settings. Hospitals must use specific CDT codes from the MHD Fee Schedule for maximum reimbursement and should only use unlisted procedure code 41899 when no specific CDT code exists.
Action Required
Immediately: Hospital billing teams must verify they are using specific CDT codes from the MHD Fee Schedule for all dental procedures instead of defaulting to unlisted code 41899. Update billing system to flag anesthesia services to use D9222 (first 15 minutes) and D9223 (each additional 15 minutes) instead of 41899. Contact MHD.ClinicalServices@dss.mo.gov for any CDT codes not found on fee schedule. Register for May 15, 2024 training at 10:00 AM for detailed billing guidance.