DentalWriter Forum

Your central resource for DentalWriter posts, blogs, training resources, faq's, and more.

Notification

Icon
Error

New Topic Post Reply
Urick and Azarinfar
#1 Posted : Tuesday, November 7, 2017 2:50:37 PM(UTC)
Quote
Urick and Azarinfar

Rank: New Member

Joined: 11/7/2017(UTC)
Posts: 1

Hello, I need help finding the medical code for an Orthotic used in TMD treatment. I do not see an alternate code and the medical insurance does not recognize the D7880. Please help!!

Thank you in advance!
Donna
courtneydsnow
#2 Posted : Tuesday, November 7, 2017 5:45:28 PM(UTC)
Quote
courtneydsnow

Rank: Administration

Joined: 11/21/2012(UTC)
Posts: 1,611

Thanks: 39 times
Was thanked: 51 time(s) in 51 post(s)
Hi Urick and Azarinfar!

What we are finding is that the code that is most commonly accepted by medical insurers currently for TMD appliances since the S8262 discontinuation June 2015 is D7880. However, some insurers are accepting the other codes listed below as well:

D7899 - unspecified TMD therapy, by report

Or, if the medical insurer says they won’t process the “D” codes (most will these days, but you will run into a few that won’t), you can try:

21299 - Unlisted craniofacial and maxillofacial procedure
21499 - Unlisted musculoskeletal procedure, head
E1399 - Durable medical equipment, miscellaneous

A narrative report explaining the treatment accompanying the claim is recommended since they are all "by report", “unlisted”, or "miscellaneous" codes.

For example, Aetna's medical policy for Temporomandibular disorders lists D7880 as an accepted HCPCS code is criteria is met: http://www.aetna.com/cpb/medical/data/1_99/0028.html

Hope this helps, have a great day!
Quick Reply Show Quick Reply
New Topic Post Reply
Forum Jump  
You can post new topics in this forum.
You can reply to topics in this forum.
You can delete your posts in this forum.
You can edit your posts in this forum.
You cannot create polls in this forum.
You can vote in polls in this forum.