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BT202291: IHCP announces dental coding policy changes
Act
by Nov 27, 2022
Effective date
Nov 27, 2022
Identified
Jun 19, 2026
Summary
Indiana Health Coverage Programs (IHCP) is implementing new dental coding requirements effective November 27, 2022, specifying which tooth numbers must be used with specific dental procedure codes across all managed care entities. Additionally, a claim processing issue for code D2943 has been corrected for dates of service from January 1, 2021 forward.
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What to do
by Nov 27, 2022 · 4 steps
01Billing team must update system to enforce specific tooth number requirements for 38 dental procedure codes as specified in the IHCP policy table.
02Update billing software validation rules to only accept the approved tooth numbers for each code (e.g., D3310 only accepts tooth numbers 6-11, 22-27).
03Train staff on new tooth numbering requirements and note that D1354 and D1355 require prior authorization for members 21 and older.
04Monitor for automatically reprocessed D2943 claims beginning December 7, 2022.
Codes mentioned
D0220D0230D1352D1354D1355D2921D2930D2932D2933D2943D2980D3310D3330D3346D3348D3410D3425D3426D3430D4212D5520D5640D5650D5660D6081D7111D7210D7220D7230D7240D7241D7250D7251D7270D7285D7286D7510
Original notice
BT202291: IHCP announces dental coding policy changes
in.gov · Always check the source before changing claims.
Related changes
See all Indiana Medicaid (IHCP) changes →BT2022111: IHCP revises dental coding updateMediumEffective Nov 27, 2022 · Claims & BillingBT202397: IHCP announces dental coverage policy changesMediumEffective Sep 15, 2023 · Medical PolicyBT2026181: IHCP removes certain FQHC and RHC procedure codes as valid encounter codesLowEffective Jan 1, 2026 · Provider BulletinBT202109: Coverage and billing information for the 2021 annual HCPCS codes updateMediumEffective Jan 1, 2021 · Claims & BillingBrowse every Indiana Medicaid (IHCP) change in the policy list
Related policy hubs
Indiana Medicaid (IHCP) policiesIN policy changesDentistryCode D0220Code D0230Code D1352Code D1354Code D1355Code D2921Code D2930Code D2932Code D2933Code D2943Code D2980Code D3310Code D3330Code D3346Code D3348Code D3410Code D3425Code D3426Code D3430Code D4212Code D5520Code D5640Code D5650Code D5660Code D6081Code D7111Code D7210Code D7220Code D7230Code D7240Code D7241Code D7250Code D7251Code D7270Code D7285Code D7286Code D7510