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Guest
#1 Posted : Wednesday, September 16, 2020 11:25:31 AM(UTC)
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Guest

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I was wondering if D7880 is considered DME or a Professional Service, and how it should be billed to medicare and commercial insurance companies? Thank you!
courtneydsnow
#2 Posted : Thursday, September 17, 2020 1:55:55 PM(UTC)
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courtneydsnow

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Hi Guest!

Great question. D7880 is typically considered a professional service, strangely enough!

While Medicare does not offer coverage for D7880 (i am assuming you may be using this code to represent a removable appliance used to treat TMJ disorders), we do see plenty of private/commercial insurers cover this code for removable appliances to treat TMJ disorders.

Since it it a "by report code", we always suggest including a narrative report to describe what the code is being used to represent, and/or you can use the "ZZ" qualifier on the line item in field 24 and provide a short narrative description following it.

Hope this helps!
Guest
#3 Posted : Thursday, September 17, 2020 2:12:09 PM(UTC)
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Guest

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Thank you, yes it did help! Is there a code to bill Medicare for a removable orthotic device to treat TMD?
courtneydsnow
#4 Posted : Thursday, September 17, 2020 3:56:32 PM(UTC)
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courtneydsnow

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Hi Guest!

Great question. So, D7880 is actually the correct code to bill to Medicare for removable appliances to treat TMJ disorders - it's just that they don't cover it! :)

Hope this helps!
Guest
#5 Posted : Monday, September 21, 2020 9:14:45 AM(UTC)
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Yes, thank you very much for your help!
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