Rate Change Notice
Posted: December 19, 2019
The CDT code D7111 is being updated to require additional information, and the fee has been changed to match the HHSC rate and the rate of the other dental plan. As a result, effective January 18, 2020, the reimbursement rate for CDT D7111 will be $11.47 and the coverage description will be: TIDs #A-T and AS-TS. A Birth-20. All primary teeth within the normal exfoliation period will require submission of an x-ray (or intraoral photograph if the tooth cannot be seen radiographically) and rationale.