044-51 Wyo. Code R. §§ 51-6 - Requirements for Use of J5xx ADA Form; CDT Procedure Codes
(a) Dentists shall use the J5xx Form and
instructions provided by the American Dental Association for filing claims with
issuers for professional services. Dentists that bill patients directly shall
provide a properly completed J5xx Form in addition to any other form used to
bill the patient when requested by the patient.
(b) Issuers may not require a dentist to use
any code other than the CDT Procedure Codes for the initial filing of claims
for dental care services, unless the use of supplemental codes are defined and
permitted in a written contract between the issuer and dentist. Clearly defined
supplemental codes may be used only for procedures not elsewhere defined by CDT
Procedure Codes.
Notes
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