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I was wondering if D7880 is considered DME or a Professional Service, and how it should be billed to medicare and commercial insurance companies? Thank you!
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Rank: Administration
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Hi Guest!
Great question. D7880 is typically considered a professional service, strangely enough!
While Medicare does not offer coverage for D7880 (i am assuming you may be using this code to represent a removable appliance used to treat TMJ disorders), we do see plenty of private/commercial insurers cover this code for removable appliances to treat TMJ disorders.
Since it it a "by report code", we always suggest including a narrative report to describe what the code is being used to represent, and/or you can use the "ZZ" qualifier on the line item in field 24 and provide a short narrative description following it.
Hope this helps!
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Rank: Guest
Joined: 9/8/2012(UTC)
Posts: 2,226
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Thank you, yes it did help! Is there a code to bill Medicare for a removable orthotic device to treat TMD?
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Rank: Administration
Joined: 11/21/2012(UTC)
Posts: 1,732
Thanks: 39 times
Was thanked: 51 time(s) in 51 post(s)
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Hi Guest!
Great question. So, D7880 is actually the correct code to bill to Medicare for removable appliances to treat TMJ disorders - it's just that they don't cover it! :)
Hope this helps!
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Rank: Guest
Joined: 9/8/2012(UTC)
Posts: 2,226
Was thanked: 16 time(s) in 15 post(s)
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Yes, thank you very much for your help!
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