← Back to list
Changes to teledentistry codes D9995 and D9996 effective Jan. 1, 2027
Effective date
Jan 1, 2027
Identified
Aug 20, 2026
Summary
Effective Jan. 1, 2027, Oregon Health Authority will discontinue additional compensation for teledentistry add-on codes D9995 and D9996. These codes will pay $0 for fee-for-service claims (except as encounters for safety net clinics), though reimbursement for the actual clinical services delivered during telehealth encounters will continue. Providers must continue billing these codes with appropriate Place of Service codes for documentation purposes, but should not expect separate telehealth fees.
Get alerts when payers change rules like this one
We check Oregon Health Plan and other payers every day and email you when a change matches your specialty and state.
Get Oregon Health Plan alertsPolicy Monitoring is free. No card required.
What to do
Action · 7 steps
01By Dec.
0231, 2026: Billing team must update billing software and fee schedules to reflect that D9995 (synchronous teledentistry) and D9996 (asynchronous teledentistry) will pay $0 for Oregon Health Plan fee-for-service claims effective Jan.
031, 2027.
04Ensure claims processing does not deny D9995/D9996 claims or bundle/reduce reimbursement for clinical evaluation codes when these modifiers are used.
05Providers must continue submitting these codes with the appropriate CDT code for the service and Place of Service code (e.g., POS 02 or POS 10) for encounter documentation.
06Coordinate with any dental subcontractors or CCOs to verify their systems are updated.
07Contact Oregon OHA Provider Services (800-336-6016, option 5) with questions.
If missed: Failure to update systems may result in incorrect claim processing or system rejections for telehealth dental claims.
Codes mentioned
D9995D9996
Original notice
Changes to teledentistry codes D9995 and D9996 effective Jan. 1, 2027
oregon.gov · Always check the source before changing claims.