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    • Codingwithkyle 6024556790262
    1. Front Office
    2. Insurance Coding and Tips

    Coding with Kyle: D7960—Frenectomy

    Feb. 10, 2021
    This column from Kyle Summerford is designed to guide office managers through the tricky world of dental coding. There are nuances and correct ways to submit codes to insurance companies. This month we're reviewing new codes related to frenectomy.

    NEW CODE ALERT:

    D7961–Buccal/Labial Frenectomy

    D7962–Lingual Frenectomy

    • Submitting a claim with x-rays is not enough to facilitate coverage and payment.
    • This code should be applied only when the procedure involves removing a patient’s frenum.
    • Dental insurance companies will refer to the patient’s plan limitations and exclusions when considering the dental claim.
    • This procedure is limited to once per lifetime, per tooth.
    • If reporting a connective tissue graft or pedicle graft on the same visit as the frenectomy, the frenectomy will be considered inclusive and no additional payment will be made.
    • A narrative should be included indicating the following:

            - Amount of gingival recession in millimeters

            - The severity of gingival inflammation

            - The level of sensitivity

            - Bleeding on probing

    • Pre-op and Post-op x-rays must always accompany the claim form; in addition, periodontal charting should be included.
    About the Author

    Kyle L. Summerford

    With more than 22 years of experience in dental, Kyle L. Summerford has a unique approach to case presentation and patient acceptance. As an OM and financial dental consultant, he leverages his knowledge to assist new and struggling dental practices. Through his education programs, Kyle empowers staff members with effective patient education skills and persuasion techniques. He has lectured at CE events and academic institutions. His expertise is further recognized through his column, Dental Coding with Kyle. He’s the founder of the Dental Office Managers Community. Visit his website at kylesummerford.com.