MedicaidBilling CodesMedium impact
BT202435: IHCP updates claim requirements for certain dental codes
Indiana Medicaid (IHCP)·IN · Dentistry·Claims & Billing
Effective date
Apr 25, 2024
We identified it
Jun 19, 2026
Summary
Effective April 25, 2024, Indiana Health Coverage Programs (IHCP) is removing tooth number requirements for dental codes D1510, D1551, D1552, and D1575, while requiring Area of Oral Cavity (quadrant) codes for D1510 and D1575. This affects both fee-for-service and managed care dental billing for IHCP members.
Action Required
By April 25, 2024: Billing team must update dental billing system to remove tooth number requirements for codes D1510, D1551, D1552, and D1575. Add required Area of Oral Cavity field for codes D1510 and D1575 using quadrant codes (10=Upper Right, 20=Upper Left, 30=Lower Left, 40=Lower Right). Update encounter forms to reflect new requirements for Indiana Medicaid patients.