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Limited Orthodontic Treatment Will Become a Benefit of the CSHCN Services Program on January 1, 2022

Last updated on 12/30/2021

Effective for dates of service on or after January 1, 2022, limited orthodontic treatment procedure codes D8010 and D8020 will be benefits in the Children with Special Health Care Needs (CSHCN) Services Program as follows:

Procedure Code

Place of Service

Provider Type

D8010

Office and outpatient hospital

Dentist and federally qualified health center (FQHC) providers

D8020

Office

Dentist and FQHC providers

Procedure codes D8050 and D8060 will be discontinued because of updates to the 2022 annual Healthcare Common Procedure Coding System. Limited orthodontic treatment procedure codes D8010 and D8020 may be used as alternatives to the discontinued procedure codes.

Procedure codes D8010 and D8020 will be benefits for clients who are 20 years of age or younger, and these codes will require prior authorization.

For more information, call the TMHP-CSHCN Services Program Contact Center at 800-568-2413.