Hi
talk2us@finetunegumes.com!
Great questions. Yes, Medicare Part B does state that they do not cover “routine dental care” such as crowns, bridges, implants, cleanings, oral exams, etc. Those services can be billed to the patient’s dental insurance policy if they have one available. There are certain diagnosis codes that may establish medical necessity for some of these services, for example accident cases, lesions/malignant neoplasms, etc….. Candidia, Thursh, and lichen planus are likely diagnoses that are considered not medically necessary for those procedures.
Now, on the tobacco cessation side:
Here is a link to your Medicare Part B jurisdiction’s (noridian) information on preventative service (tobacco cessation counseling included on list as covered service):
https://www.noridianmedicare.com/partb/train/education_center/preventive_services.htmlHere are screenshots attached to this post of the high points from the info with guidelines, codes, etc!