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Reminder: FEP Dental Claims for Oral Surgery
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).
Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Learn more about our non-discrimination policy and no-cost services available to you.
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