Hi Eastland Dental Center!
D7960 - frenulectomy - also known as frenectomy or frenotomy - separate procedure not incidental to another procedure
Dental billing is not really our forte as medical insurance is, however I did find a few dental policies that may be helpful.
Here is a link to Aetna's dental policy titled "Frenulectomy (Frenectomy, Frenotomy) or Frenuloplasty":
https://www.aetna.com/health-care-professionals/clinical-policy-bulletins/dental-clinical-policy-bulletins/DCPB011.html#I did not find any indications in this policy that it cannot be billed as three separate procedures for three different sites.
Also, here is a link to UHC's dental policy titled "ORAL SURGERY: NON-PATHOLOGIC EXCISIONAL PROCEDURES"
https://www.unitedhealthcareonline.com/ccmcontent/ProviderII/UHC/en-US/Main%20Menu/Tools%20&%20Resources/Policies%20and%20Protocols/Dental%20Clinical%20Policies%20&%20Coverage%20Guidelines/StaticFiles_PDFs/Oral%20Surgery_Non-Pathologic.pdfUnder "Coverage Limitations and Exclusions" in this policy, it states:
"Frenulectomy and frenuloplasty are considered incidental if performed on the same day, same area as gingivectomy/gingivoplasty, alveoloplasty and vestibuloplasty surgical procedures"
So again, no direct indications it cannot be billed separately for separate sites, although it is possible the insurer may say that multiple sites performed on the same day are incidental to each other.
Hope this helps!
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