Changes in Billing for Fluoride Varnish

Posted on: November 4, 2010

 

Effective September 1, 2010, the HFS procedure code for fluoride varnish has been changed to D1206. The former code will be active until December 31, 2010. After that time, claims using D1203 will be rejected. Please update your billing systems accordingly.  

In addition, the issue in the payment system that has caused rejections for error code C31 has been corrected. If you received this rejection, please resubmit for those claims.

For more information, review the November 1 notice from HFS. For additional questions on billing, contact HFS Bureau of Comprehensive Health Services at 888/782-5565.

Providers who practice in specific areas of the state and have completed the Bright Smiles from Birth program are eligible for reimbursement for application of fluoride varnish. For more information on Bright Smiles from Birth contact Jennie Pinkwater at jpinkwater@illinoisaap.com.