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Indiana Medicaid (IHCP)Medicaid · Billing Codes · Claims & Billing · IN · Dentistry, Oral & Maxillofacial SurgeryMedium impact

BT2022111: IHCP revises dental coding update

Act
immediately
Effective date
Nov 27, 2022
Identified
Jun 19, 2026

Summary

Indiana Health Coverage Programs (IHCP) revised dental coding requirements for three specific procedures. The changes restrict tooth number requirements for dental implant scaling (D6081) to permanent teeth only and remove all tooth number requirements for oral tissue biopsies (D7285, D7286).

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What to do

immediately · 5 steps
01Billing team must update dental billing system for Indiana Medicaid patients.
02For D6081 (implant scaling), restrict tooth numbers to 1-32 only (remove 51-82, A-T, AS-TS).
03For D7285 and D7286 (oral biopsies), remove all tooth number requirements from billing system.
04Update encounter forms to reflect these changes.
05Contact Gainwell Technologies at 800-457-4584 for FFS billing questions or appropriate MCE for managed care questions.

Codes mentioned

D6081D7285D7286

Original notice

BT2022111: IHCP revises dental coding update
in.gov · Always check the source before changing claims.
View original ↗

Related changes

See all Indiana Medicaid (IHCP) changes →
BT202291: IHCP announces dental coding policy changesHighEffective Nov 27, 2022 · Claims & BillingBrowse every Indiana Medicaid (IHCP) change in the policy list

Related policy hubs

Indiana Medicaid (IHCP) policiesIN policy changesDentistryOral & Maxillofacial SurgeryCode D6081Code D7285Code D7286

Summaries are AI-assisted. Always confirm against the original payer notice.

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