MedicaidBilling CodesMedium impact
BT2022111: IHCP revises dental coding update
Indiana Medicaid (IHCP)·IN · Dentistry, Oral & Maxillofacial Surgery·Claims & Billing
Effective date
Nov 27, 2022
We identified it
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).
Action Required
Immediately: Billing team must update dental billing system for Indiana Medicaid patients. For D6081 (implant scaling), restrict tooth numbers to 1-32 only (remove 51-82, A-T, AS-TS). For D7285 and D7286 (oral biopsies), remove all tooth number requirements from billing system. Update encounter forms to reflect these changes. Contact Gainwell Technologies at 800-457-4584 for FFS billing questions or appropriate MCE for managed care questions.