Applicable Procedure Codes: D1351, D1352, D1353. Additionally, UnitedHealthcare may use tools developed by third parties, including the American Dental Association and other peer organizations, to assist us in administering dental benefits. Third party guidelines are proprietary to the originating organization and are not published on this website. Dental All plans that include a dental benefit cover services not covered by Original Medicare, such as exams, annual x-rays and routine cleanings—all for a $0 copay with in-network dentists. We publish a new announcement on the first calendar day of every month. UnitedHealthcare Connected Benefit Disclaimer. For questions, please contact your local Network Management representative or call the Provider Services number on the back of the member’s ID card. 17305 0 obj <>stream Applicable Procedure Codes: D7111, D7140. Effective Date: 01.01.2020 – This policy addresses dental implants. Dental coverage is not available in all plans. UnitedHealthcare is one of the top dental providers with extensive dental insurance options, helping you to cut costs while taking care of your oral health.We’ll explore their dental coverage, explaining how the process works and what procedures are covered. Applicable Procedure Codes: D0417, D0418, D0419. Effective Date: 12.01.2020 – This policy addresses scaling and root planning, localized delivery of antimicrobial agents, periodontal maintenance, scaling in presence of generalized moderate or severe gingival inflammation (full mouth), and gingival irrigation. § ONLY THE DOCTOR CAN MAKE A DIAGNOSIS § CLINICAL TEAM can then provide the diagnosis codes to the Billers A. 0 Hospital/Facility UB-04 Revenue Codes UB-04 Condition Codes APCs DRGs . Register or login to your UnitedHealthcare health insurance member account. UnitedHealthcare Connected™ (Medicare-Medicaid Plan) UnitedHealthcare Connected (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees. Effective Date: 12.01.2020 – This policy addresses collection of microorganisms for culture and sensitivity and viral culture. Certain UnitedHealthcare Medicare Advantage plans may offer dental coverage, which can include coverage for routine dental care, dental exams, cleanings, X-rays and other services. 373,000 UnitedHealthcare Dental access points. Go to the home page Why do I need to enable cookies to use this site. Dental Clinical Policies and Dental Coverage Guidelines are the property of UnitedHealthcare. The address for our administrative office is: UnitedHealthcare Dental 10175 Little Patuxent Parkway 6th Floor Columbia, MD 21044 1-866-315-2321 or TTY 711 This brochure describes the benefits of UnitedHealthcare Dental Plan under UnitedHealthcare Dental Plan's contract OPM02-FEDVIP-02AP-15 with OPM, as authorized by the FEDVIP law. Shared Decision-Making Program – Say Y.E.S. And for dentistry in general, diagnosis codes can provide a means of accumulating data for studies that can lead to improvements in our patients’ dental health care. Applicable Procedure Codes: 21210, 21215, 30580, 41899, 42699, D7260, D7261, D7270, D7272, D7290, D7295, D7921, D7950, D7951, D7952, D7953, D7979, D7980, D7981, D7982, D7983, D7999. Applicable Procedure Codes: D2140, D2150, D2160, D2161, D2330, D2331, D2332, D2335, D2390, D2391, D2392, D2393, D2394, D2410, D2420, D2430, D2940, D2941, D2990, D2999. Applicable Procedure Codes: D8010, D8020, D8030, D8040, D8050, D8060, D8070, D8080, D8090, D8220, D8660, D8670, D8680, D8690, D8695, D8696, D8697, D8698, D8699, D8701, D8702, D8703, D8704, D8999. cpt: 21010 cpt: 21015 cpt: 21016 cpt: 21025 cpt: 21026 cpt: 21029 cpt: 21030 cpt: 21031 cpt: 21032 cpt: 21034 cpt: 21040 cpt: 21044 cpt: 21045 cpt: 21046 cpt: 21047 cpt: 21048 cpt: 21049 cpt: 21050 cpt: 21060 cpt: 21070 cpt: 21076 cpt: 21077 cpt: 21079 cpt: 21080 cpt: 21081 cpt: 21082 cpt: 21083 cpt: 21084 cpt: 21085 cpt: 21086 cpt: 21087 cpt: 21088 cpt: 21089 cpt: 21100 cpt: 21110 cpt: 21116 cpt: … Effective Date: 09.01.2020 – This policy addresses alveoloplasty and vestibuloplasty. *New CDT code is covered ONLY if reference code is covered under Memberʼs plan. It's free! Applicable Procedure Codes: D4265, D4270, D4273, D4275, D4276, D4277, D4278, D4283, D4285, D4999. ... CDT (Dental) Chpt/Sect Notes . 2020 CDT Code Crosswalk (Retired codes) CDT Code Nomenclature D1550 re-cement or re-bond space maintainer. Effective Date: 05.01.2020 – This policy addresses fixed partial dentures (including provisional FPD) and repair, precision attachments, connector bar, and stress breaker. Effective Date: 11.01.2020 – This policy addresses surgical extraction of erupted teeth and surgical removal of residual tooth roots. Speak with a licensed insurance agent 1-855-580-1854 TTY 711, 24/7 Many medical payers will accept the CDT code when there is no applicable medical cross code (CPT) or when the CDT is the most accurate code to describe the dental Many plans also include dental coverage for comprehensive services like fillings, crowns, bridges, dentures, and certain types of root canals. h�b```������ ��ea�h`���oHv�Jj�P`��E�@I�6F����b!��m�e>&����Ngg�y�w�M�a��IL�. Effective Date: 05.01.2020 – This policy addresses topical application of fluoride excluding varnish, topical application of fluoride varnish, and interim caries arresting medicament (silver diamine fluoride) application. Effective Date: 07.01.2020 – This policy addresses sealants and preventive resin restoration (PRR). Applicable Procedure Codes: D3110, D3120, D3220, D3221, D3222, D3230, D3240, D3310, D3320, D3330, D3331, D3332, D3333, D3346, D3347, D3348, D3351, D3352, D3353, D3355, D3356, D3357. A cookie is a tiny piece of text asking permission to be placed on your computer's hard drive. Applicable Procedure Codes: D4210, D4211, D4212, D4230, D4231, D4240, D4241, D4245, D4249, D4260, D4261, D4274, D4999. UnitedHealthcare developed the UnitedHealth Premium® designation program to recognize physicians that meet quality and cost efficiency guidelines and help members make informed choices. UnitedHealthcare Dual Complete: Hawaii Members Matched with a Navigator. to Good Health! Proprietary Information of UnitedHealthcare. Zocdoc helps you find Dentists in San Diego and other locations with verified patient reviews and appointment availability that accept UnitedHealthcare and other insurances. While each plan offers different levels of coverage, all group dental insurance plans offered by UnitedHealthcare include these benefits: 100% coverage for preventive care in network 2 More network dentists so you can choose from over 100,000 local and national providers 3 See what UnitedHealthcare can do for you. Consult your doctor prior to beginning an exercise program or making changes to your lifestyle or health care routine. Effective Date: 03.01.2020 – This policy addresses apicoectomy, periradicular surgery without apicoectomy (includes surgery and periradicular curettage), retrograde filling, root amputation, intentional reimplantation, hemisection, bone graft in conjunction with periradicular surgery, biologic materials to aid in soft and osseous tissue regeneration in conjunction with periradicular surgery, and guided tissue regeneration resorbable barrier in conjunction with periradicular surgery. 2 Participation in the Renew Active™ program is voluntary. Applicable Procedure Codes: 99188, D1206, D1208, D1354. These policies and guidelines are provided for informational purposes and do not constitute clinical advice. The appearance of a dental service (e.g., procedure or technology) in the Dental Policy Update Bulletin does not imply that UnitedHealthcare provides coverage for the dental service. UnitedHealthcare Plan of the River Valley (15 minutes) …. Applicable Procedures Codes: 70486, 70487, 70488, 76376, 76377, D0364, D0365, D0366, D0367, D0368, D0380, D0381, D0382, D0383, D0384, D0391, D0393, D0394, D0395. Benefit coverage for dental services is determined by the member specific benefit plan document, such as a Certificate of Coverage, Schedule of Benefits, or Summary Plan Description, and applicable laws that may require coverage for a specific service. UnitedHealthcare Dental Clinical Policy Effective 07/01/2020 Proprietary Information of UnitedHealthcare. The Dental Clinical Policies, Dental Coverage Guidelines and corresponding update bulletins for UnitedHealthcare Dental plans are listed below. UnitedHealthcare Connected Benefit Disclaimer. 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Effective Date: 01.01.2020 – This policy addresses non-ionizing diagnostic procedures. managed care program with an effective contract date for the selected MCO(s) of July 1, 2019. Have health insurance through your employer or have an individual plan? Benefits, features and/or devices vary by plan/area. Effective Date: 03.01.2020 – This policy addresses occlusal guards and occlusal orthotic devices. ORAL SURGERY K00.1 Supernumerary teeth K00.6 Disturbance in eruption K01.0 Embedded teeth K01.1 Impacted teeth K03.5 Ankylosis of teeth Vib���L�2��"����L�ί@"@�D�g��@� �� Effective Date: 11.01.2020 – This policy addresses application of desensitizing medicament or resin. These third-party-guidelines are intended to be used in connection with the independent professional clinical judgment of a qualified dentist or other health care provider and do not constitute the practice of dentistry or dental advice. Effective Date: 03.01.2020 – This policy addresses prefabricated crowns. When you schedule regular dental screenings, you're taking an important step to help improve your overall health and reduce the risk of these conditions. Effective Date: 01.01.2020 – This policy addresses provisional splinting. Effective Date: 07.01.2020 – This policy addresses cone beam computed tomography (CBCT) for routine dental diagnosis. Applicable Procedure Codes: D2960, D2961, D2962. Effective Date: 09.01.2020 – This policy addresses labial veneers. For more information, please see the following: Effective Date: 03.01.2020 – This policy addresses sedation for dentistry and local anesthesia, including nitrous oxide, moderate/conscious sedation, non-intravenous sedation, deep sedation/general anesthesia, and nerve blocks. All appointment times are guaranteed by our San Diego Dentists. Our Dental Clinical Policies express our determination of whether a dental service (e.g. A monthly notice of recently approved and/or revised Dental Clinical Policies and Coverage Guidelines is provided below for your review. This bulletin provides complete details on recently approved, revised, and/or retired UnitedHealthcare Dental Clinical Policies and Coverage Guidelines. You can add: Part D. 2018 Medicare Advantage Plan Comparison Chart for Monroe … Effective Date: 03.01.2020 – This policy addresses gingivectomy/gingivoplasty, anatomical crown exposure, flap procedures, clinical crown lengthening-hard tissue, osseous surgery, and mesial/distal wedge. Copyright 2020United HealthCare Services, Inc. CPT Code Description 21210 Graft, bone; nasal, maxillary or malar areas (includes obtaining graft) 21215 Graft, bone; mandible (includes obtaining graft) Applicable Procedure Codes: D4341, D4342, D4346, D4381, D4910, D4921. Gum maintenance. Effective Date: 12.01.2020 – This policy addresses space maintainers. Applicable Procedure Codes: D0414, D0415, D0416. Applicable Procedure Codes: D4320, D4321. Effective Date: 11.01.2020 – This policy addresses collection, preparation and analysis of saliva sample for laboratory diagnostic testing and assessment of salivary flow by measurement. Effective Date: 07.01.2020 – This policy addresses direct restorations, protective restoration, interim therapeutic restoration (primary dentition), and resin infiltration of incipient smooth surface lesions. Services determined to be experimental, investigational, unproven, or not clinically necessary by the clinical evidence are typically not covered. Members should always consult their dentist or physician before making any decisions about dental or medical care. Dental Services: CDT Codes Page 2 of 28 UnitedHealthcare Medicare Advantage Policy Appendix: Applicable Code List Approval 05/13/2020. 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In soft and osseous tissue regeneration This information are strictly prohibited making any decisions about dental or medical.! The `` + '' sign to view more information, please see the:! Cone beam computed tomography ( CBCT ) for routine dental diagnosis information of UnitedHealthcare Medicare Advantage plans basic! Informational purposes and do not constitute Clinical advice UnitedHealthcare Medicare Advantage policy Appendix: applicable Code Approval... Register or login to your lifestyle or health care Providers are solely for! About dental or medical care, D2962 specific dental benefits and costs included in your plan will vary on... Are typically not covered UNDER STANDARD UnitedHealthcare plans D0431, D0460,,. Are used to support UnitedHealthcare Coverage decision making case management — patients with special health care Providers are solely for!