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Effective for claims with dates of service on and after March 14, 2026, the Health Care Authority (HCA) will discontinue coverage of CDT® code D9630 to align with updates to WAC 182-535-1098, Covered - Adjunctive general services.
What is Changing?
Effective March 14, 2026, the Washington Apple Health (Medicaid) Dental Program updated WAC 182-535-1098 to discontinue coverage for CDT® code D9630 (drugs or medicaments dispensed in the office for home use).
While CDT® code D9630 is no longer a covered dental benefit, HCA continues to cover necessary drugs and medicaments for home use through the client’s pharmacy benefit. Funding previously allocated to CDT® code D9630 has been redistributed to other dental services.
See the What has changed table in the Dental-Related Services Billing Guide for additional information, comprehensive instructions, and updated fee schedule. The updated guide will be published on March 10, 2026.
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