Processing Policy Changes Reminder
Bitewing Age Limitation (Updated 2018)br
Codes D0270, D0273, D0274 & D0277
Benefits for bitewing radiographs are limited to no more than two images for children under the age of 10.
An alternate benefit is given of D0272, bitewings, two radiographic images. The difference in fees is disallowed.
Periodontal Scaling and Root Planing (Updated 2016)
Delta Dental will no longer benefit more than two quadrants of scaling and root planing on the same date of service. More than two quadrants performed will be disallowed. (Note: Individual consideration may be considered when accompanied by adequate documentation of extraordinary circumstances.)
Oral Surgery Policy Change (Updated 2016)
In order to process claims more efficiently, a detailed narrative that supports the treatment provided are now required, including diagnostic X-rays or photos for oral surgery codes D7210-7999. Perio charting and diagnostic quality X-rays are required.