044-51 Wyo. Code R. § 51-6
(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.
044-51 Wyo. Code R. § 51-6
Amended, Eff. 7/13/2017.