COVID-19 Coding and Billing Interim Guidance : PPE
• Qualifying evaluation and consultation codes are : D0120 , D0140 , D0145 , D0150 , D0160 , D0170 , D0180 , D0190 , D0191 , D8660 , D9310 and D9430 .
• Do not submit D1999 to receive reimbursement .
• Any additional charge for sterilization / infection control is not billable to the patient .
• If patient exceeds the frequency limitation or has exceeded their plan maximum for their benefit plan for one of the qualifying CDT 2020 codes , they will be responsible for the allowed amount , which will include the temporary supplemental reimbursement .
Delta Dental of Arizona
• The Interim PPE Support Program is available to all Delta Dental of Arizona contracted dental offices , which includes any dentists working under the same Tax ID Number ( TIN ).
• The contracted dental office must be ( 1 ) Located in Arizona , ( 2 ) Participating in the Delta Dental network as of the date of claim , ( 3 ) Participating in the Delta Dental network as of the date the check is issued .
• A $ 10 PPE support payment will be calculated for all Delta Dental of Arizona member claims paid to the dental office from April 1 through July 31 , 2020 , with a maximum of one PPE support payment per patient per day .
• PPE support payments will be made as separate , monthly lump-sum payments that reflect the total number of Delta Dental of Arizona claims paid to the dental office for the period . Claims paid during the timeframe of the program are the only claims eligible for the PPE support payment .
• The minimum lump-sum payment is $ 50 . Payments will not be made for less than 5 claims in a single month .
• The lump-sum payment will be paid by check for each location operating under the same TIN and mailed to the payment address on file .
• First lump-sum payment for April and May paid claims will be issued by June 30 .
• Subsequent PPE support payments will be issued by separate check in the month following the claims paid date : July ( for June ) and August ( for July ), provided eligibility is met .
• Per the Participating Provider Agreement , PPE / infection control is not billable to the patient at any time .
• No application or action is required by an eligible dental office to receive PPE support payments .
Delta Dental of Missouri
• Assistance for network dentists with costs of reopening , such as purchasing PPE
• One-time payment based on practice claims volume with DDMO .
• A total of $ 3 million in Reopening Relief .
• Checks will be mailed the week of June 8 , 2020 , to the practice ’ s primary office address .
• Dentists do not need to apply and no repayment is necessary .
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