The reimbursement game

Sept. 28, 2010
Whether you are placing implants, treating a snoring/apnea problem, performing periodontal surgery, or simply placing an interim bridge or partial, you will need to use appliances to help control and direct your patients’ treatment. Dr. Rob Veis explains how to properly code for appliances to receive optimal reimbursement from a third-party payer.

By Rob Veis, DDS

After completing periodontal therapy on a patient, you decide to make a splint to stabilize the dentition and control the excess mobility. Would you know how to accurately report your treatment to obtain reimbursement for this splint from a third-party payer?

One of your patients is complaining that he seems to be grinding away his lower teeth. Upon examination you notice that the patient’s maxillary anterior porcelain bridge is causing abnormal wear of the lower anteriors. In an effort to protect these teeth, you decide to make the patient an occlusal guard. Although this appliance looks exactly like the splint used in the previous example, its usage is different. Would you use the same insurance code to try to gain payment or choose another?

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