Provider Notice Issued 01/27/2020

 
Date:    January 27, 2020
 
To:       Enrolled Dental Providers
 
Re:      2020 Current Dental Terminology (CDT) Code Updates  
 
 
This notice informs dental providers that effective with dates of service on and after January 1, 2020, the following CDT codes have been included for coverage in the Department’s Dental Program:
 
Code
Description
D1551
Re-cement or re-bond bilateral space maintainer – maxillary (replaces D1550)
D1552
Re-cement or re-bond bilateral space maintainer – mandibular (replaces D1550)
D1553
Re-cement or re-bond unilateral space maintainer – per quadrant (replaces D1550)
D2542
Onlay – metallic – two surfaces
D2543
Onlay – metallic – three surfaces
D2544
Onlay – metallic – four or more surfaces
D2642
Onlay – porcelain/ceramic – two surfaces
D2643
Onlay – porcelain/ceramic – three surfaces
D2644
Onlay – porcelain/ceramic – four or more surfaces
D2753
Crown – porcelain fused to titanium and titanium alloys
D4249
Clinical crown lengthening – hard tissue
D6753
Retainer crown – porcelain fused to titanium and titanium alloys
 
A revised dental fee schedule is on the Illinois Department of Healthcare and Family Services’ website. HealthChoice Illinois managed care plans also cover these services at the dental fee schedule or contracted rate. 
 
Questions regarding this notice may be directed to the Bureau of Professional and Ancillary Services at 877-782-5565 for fee-for-service issues, your DentaQuest provider representative or to the applicable HealthChoice Illinois managed care plan.
 
 
Doug Elwell
Medicaid Director

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