Resources

• Change Request (CR) 13181 Medicare Policy Updates for Dental Services as Finalized in the Calendar Year (CY) 2023 Physician Fee Schedule (MPFS) Final Rule
• Change Request (CR) 13190 Educational Instructions for the Implementation of the Medicare Payment Provisions for Dental Services as Finalized in the Calendar Year (CY) 2023 Physician Fee Schedule (PFS) Final Rule
• CMS IOM Publication 100-01, Medicare General Information, Eligibility and Entitlement Manual, Chapter 4, Section-10.3 Certification for Hospital Admissions for Dental Services, Section-70 Physician Defined and 70.2 Dentists
• CMS IOM Publication 100-02, Medicare Benefit Policy Manual
  • Chapter 1, Section-30 Drugs and Biologicals and Dection-70 Inpatient Services in Connection with Dental Services
  • Chapter 1, Section 70 - Inpatient Services in Connection With Dental Services
  • Chapter 15, Section-60 Services and Supplies Furnished Incident-to a Physician’s/NPP’s Professional Service, Section-120C Dentures and Section-150 Dental Services
  • Chapter 15, Section 150 - Dental Services
  • Chapter 16, Section-140 Dental Services Exclusion
• CMS IOM Publication 100-04, Medicare Claims Processing Manual
  • Chapter 25, Part A CMS 1450 (UB-04) Data Set
  • Chapter 26, Part B CMS 1500 Data Set
• CMS IOM Publication 100-08, Medicare Program Integrity Manual, Chapter 3, Section-3.6.2.2 Reasonable and Necessary Criteria

Reviewed 6/26/2024