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Benefit for Caries Arresting Medicament to Change for the CSHCN Services Program Effective December 1, 2023

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Effective for dates of service on or after December 1, 2023, anesthesia services (procedure codes D9222 or 00170 with modifier U3) will no longer be denied if provided within six months of caries arresting medicament (procedure code D1354). The application of caries arresting medicament (procedure code D1354) will be denied when performed within six months of anesthesia services (procedure code D9222 or 00170 with modifier U3).

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