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Orthodontic Services – Prior Authorization Requests for CDT® Code D8670

Feb 10, 2021
The Health Care Authority (HCA) recently sent the following alert to dental Medicaid providers.

Apple Health (Medicaid) Provider Alert

Reminder! You must submit a prior authorization request for CDT® code D8670 when a client is banded on or after October 1, 2020.

If you are submitting a prior authorization for a limitation extension or transfer for a client who was banded before October 1, 2020, please use the appropriate orthodontic treatment CDT® code, such as D8020, D8030, or D8080.

Please see the Orthodontic Services Billing Guide for instructions.

CDT® codes and descriptions only are copyright 2020 American Dental Association