Article Detail - JE Part B
Billing and Coding: Routine Dental Services Article Retirement - January 1, 2023
The following Local Coverage Determinations (LCDs) and associated Billing and Coding Articles (LCA) have been retired under contract numbers: 01112 (NCA), 01182 (SCA), 01212 (AS, GU, HI, and NMI), and 01312 (NV).
|Medicare Coverage Database Number||Billing and Coding Article Title|
|A52978||Billing and Coding: Routine Dental Services|
Effective Date: January 1, 2023
Summary: Coverage articles may be retired due to lack of evidence of current problems or CMS may have issued guidance regarding national coverage. The Noridian guidance in the retired article may still be helpful in assessing medical necessity. Where providers have adjusted their billing and coding practices to correspond to the guidance in a coverage article, they will want to be very careful in departing from these practices just because the article is retired. Provider offices remain responsible for correct performance, coding, billing, and medical necessity under Medicare. This responsibility for correct claims submission is unchanged whether or not there is a coverage article in place.
Visit the Medicare Coverage Database to access retired articles.
Last Updated Thu, 02 Mar 2023 15:04:57 +0000