Arizona’s Medicaid Agency Publishes Guidance on Coding with Teledentistry Modalities

Updates from AHCCCS outline codes that can be used together with the teledentistry modality codes D9995 and D9996.

The following codes are covered with the use of D9995-D9996
a. D0140 limited oral evaluation – problem focused;
b. D0170 Re-evaluation-limited, problem focused (established patient; not postoperative visit)
c. D0220 Intraoral – periapical first radiographic image
d. D0230 Intraoral – periapical each additional radiographic image
e. D0240 Intraoral – occlusal radiographic image
f. D0270 Bitewing – single radiographic image
g. D0272 Bitewings – two radiographic images
h. D0273 Bitewings – three radiographic images
i. D0274 Bitewings – four radiographic images
j. D0277 Vertical bitewings – 7 to 8 radiographic images.
k. D0330 Panoramic radiographic image(Applies to members under 6) The following codes will NOT be allowed for Teledentistry D9995 and D9996.
a. D0120 Periodic oral evaluation – established patient.
b. D0150 Comprehensive oral evaluation – new or established patient

AHCCCS

See the ADA’s useful guidance on coding for teledentistry which includes a matrix of which insurance companies are covering which codes in a teledentistry encounter.

We have a free on-demand webinar that goes into further depth on navigating billable teledentistry coding

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