← Back to list
BT2024174: IHCP updates reimbursement for certain dental codes
Act
by Dec 4, 2024
Effective date
Jan 1, 2024
Identified
Jun 19, 2026
Summary
IHCP corrected pricing for 5 dental codes (D1301, D2976, D6089, D7284, D9954) that were previously priced incorrectly, changing them from RBRVS to manually priced effective January 1, 2024. IHCP will automatically reprocess affected claims starting December 4, 2024, and prior authorization is now required for code D7284.
Get alerts when payers change rules like this one
We check Indiana Medicaid (IHCP) and other payers every day and email you when a change matches your specialty and state.
Get Indiana Medicaid (IHCP) alertsPolicy Monitoring is free. No card required.
What to do
by Dec 4, 2024 · 3 steps
01Dental billing staff should monitor remittance advices for reprocessed claims with ICNs beginning with 80.
02Immediately: Update billing system to require prior authorization for D7284 (excisional biopsy of minor salivary glands).
03For any claims not automatically adjusted: Submit within 90 days (managed care) or 180 days (FFS) of October 31, 2024, including a copy of this bulletin to satisfy timely filing requirements.
Codes mentioned
D1301D2976D6089D7284D9954
Original notice
BT2024174: IHCP updates reimbursement for certain dental codes
in.gov · Always check the source before changing claims.
Related changes
See all Indiana Medicaid (IHCP) changes →BT202487: IHCP updates FQHC and RHC encounter codesMediumEffective Jul 22, 2024 · Provider BulletinBT2023182: Coverage and billing information for the 2024 annual HCPCS codes updateMediumEffective Jan 1, 2024 · Claims & BillingBT202478: IHCP identifies discrepancy with FQHC/RHC valid encounter code listHighEffective Jul 3, 2024 · Provider BulletinBrowse every Indiana Medicaid (IHCP) change in the policy list