Author Topic: Billing Medical for mouth night guards  (Read 3507 times)

cflorez

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Billing Medical for mouth night guards
« on: October 15, 2019, 09:08:52 PM »
Is any one billing the Medical side for mouth guards.   If so, what CPT code are you using? And ruffly what is it it paying?

Michele

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Re: Billing Medical for mouth night guards
« Reply #1 on: October 16, 2019, 11:29:51 AM »
I have not billed for them so I can't say but there are multiple codes available.  I'm not sure which one.  Here is a short list:

CDT      Description

D7880 Occlusal orthotic device, by report
D7881 Occlusal orthotic device adjustment
D9941 Fabrication of athletic mouth guard
D9942 Repair and/or reline of occlusal guard
D9943 Occlusal guard adjustment
D9944 Occlusal guard – hard appliance, full arch
D9945 Occlusal guard – soft appliance, full arch
D9946 Occlusal guard – hard appliance, partial arch
D9950 Occlusion analysis – mounted case
D9951 Occlusal adjustment – limited
D9952 Occlusal adjustment – complete
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cflorez

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Re: Billing Medical for mouth night guards
« Reply #2 on: October 16, 2019, 10:08:35 PM »
Thank you Michelle. Was wondering if any one billed on the Medical side. CPT codes.No D Codes.

Michele

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Re: Billing Medical for mouth night guards
« Reply #3 on: October 17, 2019, 08:52:32 AM »
Is the mouthpiece due to TMJ?  I did see some HCPCs specifically for devices due to TMJ.
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cflorez

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Re: Billing Medical for mouth night guards
« Reply #4 on: October 17, 2019, 04:27:42 PM »
In some cases it is and some no.

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Re: Billing Medical for mouth night guards
« Reply #4 on: October 17, 2019, 04:27:42 PM »

Michele

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Re: Billing Medical for mouth night guards
« Reply #5 on: October 21, 2019, 09:59:13 AM »
I am only aware of the dental codes for mouthpieces, even when for medical dxs.  Except I do see some codes for TMJ appliances. 
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Re: Billing Medical for mouth night guards
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