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KMAP BULLETIN: Dental Codes Allowed by Telephone During the COVID-19 Emergency

Date: 04/01/20

KMAP DENTAL BULLETIN 20052 (PDF)

Effective with dates of service on and after March 12, 2020, through the duration of the public health emergency the following dental codes will be allowed for payment when provided by way of telecommunication technology. These codes are currently covered face-to-face only. Allowed provider types and specialties will remain unchanged. Reimbursement will be the same as a face-to-face visit. Existing National Correct Coding Initiative (NCCI) edits/limitations will remain in place and are not waived with this change. The requirement for a face-to-face examination is being waived at this time. Tele-video communication can only be utilized if that contact is Health Insurance Portability and Accountability Act (HIPAA) compliant.

As applicable to the Federally Qualified Health Center (FQHC)/Rural Health Clinic (RHC)/Indian Health Center (IHC), these entities will receive an encounter rate when serving as the distant site.

Providers will use POS code 02 telemedicine.

  • D0140 - Limited oral evaluation - problem focused
  • D0170 - Re-evaluation - limited, problem focused (established patient; not post-operative

Per Executive Order No. 20.08: This policy will remain in force until rescinded, until May 1, 2020, or until the statewide State of Disaster Emergency proclaimed on March 12, 2020, relating to COVID-19 expires, whichever is earlier.

Note: The effective date of the policy is March 12, 2020. The implementation of State policy by the KanCare managed care organizations (MCOs) may vary from the date noted in the Kansas Medical Assistance Program (KMAP) bulletins. The KanCare Open Claims Resolution Log on the KMAP Bulletins page documents the MCO system status for policy implementation and any associate.