As a reminder, dental providers submitting medical CPT codes for oral surgery may not be reimbursed as if they had billed ADA D-Codes.
Dental providers may file claims using medical CPT codes or ADA D-Codes; however, CPT codes have different pricing than ADA D-codes. It is recommended that providers expecting to be reimbursed for ADA D-Codes file claims using ADA D-Codes, or there may be a delay in processing.
Additional information can be found in the Provider Blue Book, Section 19.2: Code Sets and Identifiers. Providers can also contact their provider services representative for guidance.
This applies to Federal Employee Program (FEP).
