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Code S8262 for TMD appliances discontinued as of June 30, 2015

Friday, June 19, 2015

Code for Mandibular Orthopedic Repositioning Device used for TMD appliance (S8262) discontinued as of June 30, 2015

Code S8262, Mandibular Orthopedic Repositioning Device commonly used for TMD appliances will be retired as of June 30, 2015. This code has been in the “temporary” code set of the HCPCS coding manual. The Center for Medicaid and Medicare Services (CMS) reserves the right to revise codes without notice and has decided to retire the temporary code with short notice.

The quarterly HCPCS coding update file has been released on CMS’s website. One of the “discontinued” codes included in the update is S8262, standing for “Mandibular Orthopedic Repositioning Device, Each”. The discontinue date is at the end of the this month on June 30th, 2015.

You can download a copy of the coding update file on CMS’s website using the link below:

Download coding update files here

 

The discontinuation of S8262 is found on the “Other codes effective July 1, 2015” file shown below:

So what code do insurers want dental practices to use for a TMD appliance instead after June 30?

We did a search of medical policies for treatment of TMD and found the following codes related to TMD:


D7880 - Occlusal orthotic device, by report

D7889 - Unspecified TMD therapy, by report

21499 - Unlisted musculoskeletal procedure, head, by report

21089 - Unlisted maxillofacial prosthetic procedure, by report



The example below shows BCBS of MA's medical policy for Temporomandibular Joint Dysfunction and specifies that D7880 can be used on a medical claim (CMS 1500) with the appropriate TMJ Disorder diagnosis code as shown below:

You can view the full policy here


TIP: Pre
-authorizations may need to be resent for treatment planned July 1 or later.


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