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Should a procedural code be a dental code or medical code for consideration through a client’s Dental Hospitalization coverage within a medical insurance plan?
What are the suggested diagnosis code(s) to cover implant placement?
Is there a specific code(s) for Dental Hospitalization Services? Or, how does one gain the usage of that coverage and/or insurance review and consideration for coverage of the aforementioned?
Does anyone know the criteria for approval[img]null[/img] and/or denial of the Dental Hospitalization portion of an insurance plan? Dental Hospitalization seems quite broad with complete coverage of surgery and all materials involved, is there a more specific criteria list that’s available elsewhere?
DENTAL HOSPITALIZATION Provider: In-Network Provider: Out-of-Network Payment: After Deductible, You pay 5% of the Allowed Amount. Preferred Payment: After Deductible, You pay 20% of the Allowed Amount. Payment: After Deductible, You pay 40% of the Allowed Amount and You pay any balance of billed charges. Hospitalization for Dental Services is covered. Covered Services include inpatient and outpatient services and supplies (including anesthesia) at an Ambulatory Surgical Center or Hospital is necessary to safeguard Your health because treatment in a dental office would be neither safe nor effective.
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