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Nancy A
#1 Posted : Thursday, December 8, 2016 3:47:44 PM(UTC)
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HI!
How often are Oral Cancer Screenings typically billable to Medical Ins? Are there limitations?
courtneydsnow
#2 Posted : Monday, December 12, 2016 8:15:05 AM(UTC)
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courtneydsnow

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Hi guest!

From our research, it appears oral cancers screenings are currently considered part of the dental exam for most insurers. For example, here is a link to Aetna's medical policy titled "Oral Screening and Lesion Identification Systems" that lists MOP genetic testing, Oral lesion identification systems (e.g., the Dentlight Oral Exam Light Kit, Microlux DL, Orascoptic DK, Sapphire Plus, TRIMIRA Identafi 3000, and ViziLite-Blue and VELscope), and Wide-field and high-resolution in-vivo imaging "experimental & investigational":
http://www.aetna.com/cpb/medical/data/700_799/0760.html

If an oral cancer screening is billed to medical insurance, the common ICD-10 diagnosis code is: Z12.81 - Encounter for screening for malignant neoplasm of oral cavity

And the common CPT code used is: 82397 - Chemiluminescent assay

Hope this helps, have a great day!
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