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MedicaidBilling CodesMedium impact

2020 Dental Fee Schedule Clarifications and HIPAA Compliance Update pdf

Connecticut Medicaid (HUSKY Health)·CT · Dentistry·Reimbursement
Effective date
Jan 1, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid updated its dental fee schedule effective January 1, 2020, replacing several space maintainer and retainer CDT codes with more specific alternatives and adding new codes for case management, bio dressings, and orthodontic repairs. The changes ensure HIPAA compliance and affect all HUSKY Health programs.

Action Required

Action needed
Effective January 1, 2020: Billing team must stop using deleted CDT codes D1550, D1555, and D8692. Replace with new specific codes: D1551-D1558 for space maintainers, D8703-D8704 for retainers. Add new codes D9997, D7922, D8696-D8697 to billing system. Download updated fee schedules from www.ctdssmap.com and verify prior authorization requirements for each new code.

Affected Billing Codes

D1550
D1555
D8692
D1551
D1552
D1553
D1556
D1557
D1558
D8703
D8704
D9997
D7922
D8696
D8697