HCA: Reimbursement Rate Increase for Emergency Dental Services During COVID-19 Pandemic

HCA: Reimbursement Rate Increase for Emergency Dental Services During COVID-19 Pandemic

The Health Care Authority has temporarily increased the Apple Health (Medicaid) reimbursement rate for a limited set of oral surgery procedures.
In an effort to increase access to emergency dental services during the COVID-19 pandemic, the Health Care Authority has temporarily increased the Apple Health (Medicaid) reimbursement rate for a limited set of oral surgery procedures.

From March 27, 2020 through April 30, 2020, the temporary rates for the following codes are as follows:
Code Rate
D7140
$127
D7210
$192.60
D7220 $219.40
D7230
$274.20
D7240 $335.80

Please use expedited prior authorization (EPA) #870001608 when billing these procedure codes.

Please note: These codes are to be used for emergency dental needs only (pain, swelling, acute infection, or other emergency conditions). Extraction of teeth not related to an emergency, even in the same quadrant, do not apply.

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