Dental Services: Billing and Coding Article A59543 is Available

The information in this article contains billing, coding or other guidelines that support the implementation of the CY 2023 Medicare Physician Fee Schedule Final Rule on dental services.

The 42 CFR Part 411.15(i) states no payment may be made for dental services in connection with care, treatment filling, removal, or replacement of teeth, or structures directly supporting teeth, except for inpatient services in connection with dental procedures when hospitalization is required because of an underlying medical condition and clinical status or the severity of the dental procedures.

Accordingly, dental services that are inextricably linked to, and substantially related and integral to the clinical success of, a certain covered medical service are not excluded; payment may be made under Medicare Parts A and B for such services furnished in the inpatient or outpatient setting.

View the article in its entirety Billing and Coding: Dental Services A59543 for complete details, visit our Dental Specialty web page for related information.

Posted 9/14/2023