Can anyone a CDT code for “Facility Fee” reimbursement under ADA compliance standards?Answer Question
Due to limitations within the CDT code structure, the concept of a Professional and technical fee has not gotten the attention it deserves. Unfortunately, anesthesia reimbursements and cases for medically necessary Dentistry, not OMF, are not payable under medical coverage. This is most prevalent with Pediatrics for Special Needs and Behavior Management Cases, where Payers generate huge savings from cases performed in-office rather than in ASC or Hospital settings.
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