why is the insurance company requiring surfaces for a D6240

why is the insurance company requiring surfaces for a D6240

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Asked on October 19, 2021 8:00 am
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Unfortunately, I can't exactly explain why a payor would request a tooth surface, but it may be a requirement of the plan for the code. This is probably given to be sure that duplicates are not billed. Also, they are typically subject to a 5–10-year limitation. There can be quite a few limitations to these codes...including waiting periods, missing tooth clauses, etc.

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Answered on May 18, 2022 11:37 am
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