Hi Guest!

D7960 - frenulectomy
can be crosscoded to:
40819 - Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy)

Hope this helps!

Hi Eastland Dental Center!

D7960 - frenulectomy - also known as frenectomy or frenotomy - separate procedure not incidental to another procedure

Dental billing is not really our forte as medical insurance is, however I did find a few dental policies that may be helpful.

Here is a link to Aetna's dental policy titled "Frenulectomy (Frenectomy, Frenotomy) or Frenuloplasty":
https://www.aetna.com/health-care-professionals/clinical-policy-bulletins/dental-clinical-policy-bulletins/DCPB011.html#

I did not find any indications in this policy that it cannot be billed as three separate procedures for three different sites.

Also, here is a link to UHC's dental policy titled "ORAL SURGERY: NON-PATHOLOGIC EXCISIONAL PROCEDURES"
https://www.unitedhealthcareonline.com/ccmcontent/ProviderII/UHC/en-US/Main%20Menu/Tools%20&%20Resources/Policies%20and%20Protocols/Dental%20Clinical%20Policies%20&%20Coverage%20Guidelines/StaticFiles_PDFs/Oral%20Surgery_Non-Pathologic.pdf

Under "Coverage Limitations and Exclusions" in this policy, it states:
"Frenulectomy and frenuloplasty are considered incidental if performed on the same day, same area as gingivectomy/gingivoplasty, alveoloplasty and vestibuloplasty surgical procedures"

So again, no direct indications it cannot be billed separately for separate sites, although it is possible the insurer may say that multiple sites performed on the same day are incidental to each other.

Hope this helps!
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Hi Guest,
You can change the number of units for services provided and add the JO qualifier with the area or you can list it as two services completed each with the area the service was provided.

The following are the codes for areas of the oral cavity, reported with the JO qualifier:
• 00 : Entire oral cavity
• 01 : Maxillary arch
• 02 : Mandibular arch
• 10 : Upper right quadrant
• 20 : Upper left quadrant
• 30 : Lower left quadrant
• 40: Lower right quadrant


Hope this helps!