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Indiana Medicaid (IHCP)Medicaid · Coverage · Provider Bulletin · IN · DentistryMedium impact

BT202563: IHCP clarifies limits on replacements for retainers for comprehensive orthodontic treatment

Act
immediately
Effective date
Not stated in the notice
Identified
Jun 18, 2026

Summary

IHCP (Indiana Health Coverage Programs/Medicaid) clarifies that retainer replacements for comprehensive orthodontic treatment are limited to once per arch per lifetime within 24 months of brace removal, and codes D8703 and D8704 are not separately reimbursable as they're included in comprehensive orthodontic treatment.

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What to do

immediately · 3 steps
01Billing team must stop billing codes D8703 and D8704 for retainer replacements for Indiana Medicaid patients who received comprehensive orthodontic treatment.
02Update billing system to flag these codes as non-reimbursable for IHCP.
03Educate providers that only one retainer replacement per arch per lifetime is covered within 24 months of brace removal, and this is included in comprehensive treatment reimbursement.

Codes mentioned

D8703D8704

Original notice

BT202563: IHCP clarifies limits on replacements for retainers for comprehensive orthodontic treatment
in.gov · Always check the source before changing claims.
View original ↗

Related changes

See all Indiana Medicaid (IHCP) changes →
BT202011: Additional information related to the 2020 annual HCPCS codes updateMediumEffective Jan 1, 2020 · Claims & BillingBT202158: IHCP updates Outpatient Fee ScheduleMediumNo effective date · Claims & BillingBrowse every Indiana Medicaid (IHCP) change in the policy list

Related policy hubs

Indiana Medicaid (IHCP) policiesIN policy changesDentistryCode D8703Code D8704

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