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Hi Urick and Azarinfar! What we are finding is that the code that is most commonly accepted by medical insurers currently for TMD appliances since the S8262 discontinuation June 2015 is D7880. However, some insurers are accepting the other codes listed below as well: D7899 – unspecified TMD therapy, by report Or, if the medical insurer says they won’t process the “D” codes (most will these days, but you will run into a few that won’t), you can try: 21299 – Unlisted craniofacial and maxillofacial procedure 21499 – Unlisted musculoskeletal procedure, head E1399 – Durable medical equipment, miscellaneous A narrative report explaining the treatment accompanying the claim is recommended since they are all “by report”, “unlisted”, or “miscellaneous” codes. For example, Aetna”s medical policy for Temporomandibular disorders lists D7880 as an accepted HCPCS code is criteria is met: Hope this helps, have a great day!
Hello, I need help finding the medical code for an Orthotic used in TMD treatment. I do not see an alternate code and the medical insurance does not recognize the D7880. Please help!! Thank you in advance! Donna
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