Medicaid Minnesota policy
Dental Authorization Requirement Tables — Endodontics
Dental Authorization Requirement Tables — Endodontics is a public Medicaid Minnesota policy (effective Mar 12, 2026). It lists 1 CPT or HCPCS code. Not a coverage decision; the payer's own document governs.
- Payer
- Medicaid Minnesota
- Effective
- Mar 12, 2026
- Line of business
- Medicaid
- States
- MN
- Source
- www.dhs.state.mn.us
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes.
| Code | Other Medicaid Minnesota policies |
|---|---|
| D3460 | Policies naming D3460 |