Which Dental Procedures Can Be Billed To Medical Insurance?

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  • เผยแพร่เมื่อ 19 ส.ค. 2024
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    Examples of procedures that can be billed to medical (not limited to the list)
    Exams
    Panorex
    CBCT
    Tomography
    TMJ Treatment
    Sleep Apnea Therapy
    Bone Grafts
    Implants
    3rd Molars
    Frenectomies
    Biopsies
    Surgeries
    Clearance exams
    Anesthesia
    Accidents
    Botox for “Painful Bruxism”
    Laser
    Oral Surgeries
    Other "medically necessary" services
    Many US states have passed mandates that Temporomandibular Joint Disorder treatment is required to be covered under medical policies
    Dental insurers require that medical is billed first. Some medical insurance policies have favorable reimbursement policies when the patient has difficultly with everyday oral function.
    To request reimbursement from medical carriers, ICD 10 codes explain “why” services are being provided from a diagnosis standpoint. Every medical claim requires at least 1 (and allows up to 12) to bill any procedure to medical. The ICD-10 diagnosis code must correlate to the procedure provided
    The ICD diagnosis code establishes the medical necessity of the procedure you are performing for such conditions as atrophy of the jawbone which warrants bone grafting to an edentulous area, impacted teeth, infection or cysts for extractions, TMJ articular disc disorder or Obstructive Sleep Apnea to correlate with oral appliances or orthotics
    Medically necessary screening exams for oral surgery, TMJ disorders and obstructive sleep apnea can often be billed to medical insurance
    If the patient has an accident affecting the teeth, unrelated to a motor vehicle or work-related accident, the medical insurance can be billed
    Medical policies may cover oral appliances for obstructive sleep apnea if the specific documentation of medical necessity is sent and is complete. It’s important to become familiar with local polices in order to know what’s wanted and needed.

ความคิดเห็น • 1

  • @thomasroush7795
    @thomasroush7795 ปีที่แล้ว +1

    What insurance companies should I look at as far as those that would cover oral implants..