Dental services end of EPA #870001607 and discontinued use of CDT® code D0170 – Effective May 11, 2023

Washington State Health Care Authority sent this bulletin at 04/14/2023 04:37 PM PDT

Date Month, Year

Apple Health (Medicaid) Provider Alert

Attention Dental providers:

EPA Code #870001607 Ending

Effective for dates of service on and after May 11, 2023, the Health Care Authority (HCA) is ending the use of expedited prior authorization (EPA) #870001607, associated with CDT® codes D9222, D9223, D9239, and D9243 for general anesthesia and intravenous sedation related to a dental emergency. Prior authorization requirements for these procedure codes will resume.

This change aligns with the ending of the federal public health emergency.

CDT code D0170 Discontinued

Effective for dates of service on and after May 11, 2023, HCA is also discontinuing the use of CDT® code D0170, reevaluation/established patient for all providers except orthodontists.

HCA updated the Dental-Related Services Program Billing Guide to reflect these changes.

About the Health Care Authority (HCA)

The Washington State Health Care Authority (HCA) is committed to whole-person care, integrating physical health and behavioral health services for better results and healthier residents.

HCA purchases health care for more than 2.5 million Washington residents through Apple Health (Medicaid), the Public Employees Benefits Board (PEBB) Program, the School Employees Benefits Board (SEBB) Program, and the COFA Islander Health Care Program. As the largest health care purchaser in the state, we lead the effort to transform health care, helping ensure Washington residents have access to better health and better care at a lower cost.

Please do not reply directly to this message. For more information, visit the HCA website, where you'll also find contact information.

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