Thank you Jo, I have both D4277 and D4278 codes on my dental bill for a gum graphing procedure I had done which was medically necessary and they are saying the surgery was due to medical condition because I have spinal disease which has created TMJ Dysfunction which has now lead to severe recession in my gums from my grinding and clenching. so my Blue Cross PPO needs the medical code for my situation in order to review and decide if they will pay for the surgery. I am trying to figure out how to go about this. I down loaded the form but I have to figure out the most appropriate medical code. My dentist/surgeon does not do anything with medical codes so they are of no help and my dental plan will not cover it even though the surgeon wrote a letter stating it was medically necessary. Also I frequently see a chiropractor for my corrective spinal adjustments on my entire spine because of my disease and I have been wearing a night gaurd in my mouth for many years to help prevent this problem to begin with because of my clenching and grinding.
