Hi Guest! Great question and thanks for the details, they are always helpful 🙂 Unfortunately, Cigna does not appear to have a written policy relating to dental services that are medical in nature, as many other insurers do (they do have a medical policy for orthognathic surgery, and one for Anesthesia and Facility Services for Dental Treatment – but not exactly addressing the services you”re looking for here). Here is a link to Cigna”s medical policy for Anesthesia and Facility Services for Dental Treatment: For example – here is a link to Excellus BCBS”s medical policy titled: DENTAL AND ORAL CARE UNDER MEDICAL PLANS: Since Cigna doesn”t appear to offer a coverage policy like this, you want to use other insurer”s medical policies to support your claim of medical necessity. For example, Aetna lists 41805 in this document titled “oral surgery medical in nature”: 41805 stands for: Removal of embedded foreign body from dentoalveolar structures; soft tissues I agree that this looks like the most appropriate code for the service that is planned on being provided, so a different code shouldn”t be used. Hope this helps!
