COVID-19 Coding and Billing Interim Guidance : PPE
• Starting May 18 , 2020 Apple Health Dental will reimburse CDT code D1999 for personal protective equipment . This code is allowed on a temporary basis until further notice . It is allowed at the rate of $ 15 per client , per day billed on a dental claim .
MCNA Nebraska Medicaid
• MCNA is covering Personal Protective Equipment ( PPE ) for a limited time . Effective March 13 , 2020 through June 30 , 2020 , the following code may be utilized :
• D1999 - unspecified preventive procedure , by report – Fee $ 10
• This code is to document and report the use and cost of PPE .
• Limited to one per member , per date of service ( DOS ) by the same provider , facility , or group . Must be submitted with other services .
• If your office has already submitted claims for PPE utilizing D1999 , no further action is necessary . MCNA will reprocess the claims that fit the criteria listed above .
• If your office submitted claims from March 13 , 2020 through June 1 , 2020 that did not contain reimbursement for PPE utilizing D1999 , MCNA will automatically process each claim submitted and pay a single D1999 at $ 10 . You do not need to take any further action and the criteria listed above will apply .
Humana
• As of June 1 , Humana will pay an additional $ 7 per Humana member dental claim – for all fully insured Humana dental members [ excludes ASO , Network Access , and Discount plans ]
• At the end of each month , Humana will send a stipend to its dental provider partners , based on the total number of claims for Humana members that month .
• At this time , the additional funding will be available from June through September 2020 for all fully insured Humana dental members .
Anthem
• Anthem will provide in-network dental providers a PPE Credit of $ 10 per patient , per visit , from June 15th through the end of August .
CareFirst
BlueCross BlueShield
• CareFirst is reimbursing $ 7 per claim , per date of service for personal protective equipment .
• This reimbursement is for dates of service June 1 through August 31 , 2020 , and is limited to once per patient , per provider , per day .
© 2020 American Dental Association All rights reserved . Last Reviewed : July 7 , 2020 6