PARSIPPANY, N.J. —July 1, 2017 — As of September 1, 2017, procedure codes D7960 and D7963 will no longer be a covered benefit when submitted as a separate procedure, and will not be payable by Delta Dental.
All denied submissions of D7960 and D7963 may be appealed. Any appeal must include a narrative.
We may also require photographs and/or documentation of medical necessity from the referring physician.
The 2018 Participating Handbook will reflect the change under the processing policy section (Chapter 9) and in the required documentation table (Chapter 4).
About Delta Dental
Delta Dental of New Jersey, Inc. is New Jersey’s leading dental benefits company, providing or administering coverage to more than 1.6 million people through contracts with groups in New Jersey and Connecticut. In Connecticut, Delta Dental of Connecticut, Inc. is a newly licensed insurer that writes dental coverage on an insured basis, and Delta Dental of New Jersey administers self-funded dental benefit programs. For more information, visit www.deltadentalnj.com.
Alert
Important Change Regarding Procedure Codes D7960 and D7963
July 1, 2017
