A denture reline or rebase is not covered until 12 months after the placement of replacement dentures. Any additional denture relining or rebaseing is further limited to 3 years from the date of the last preceding reline or rebase. Following are the new descriptions for the listed procedure codes without the W5 modifier. From is no longer required. For counting purposes, the date of surgery is the first day.
Pain management is considered part of postoperative care.
Visits for the purpose of postoperative pain control are not separately reimbursable. Supplies necessary for providing the follow-up care in the office, such as surgical dressings in connection with covered surgical procedures that are subject to the postoperative care policy, may be billed under procedure code D9999. When properly marked, GTE Data Services will know to whom the items are to be returned if separated from the claim or prior authorization request. The 90 th Missouri General Assembly approved an appropriation to increase rates for certain dental services. The procedure codes and the new reimbursement rates are listed on pages 5 - 8 of this bulletin.