Dental services
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CMS Internet-only manual (IOM)
The CMS IOMs contain day-to-day operating instructions, policies, and procedures based on statutes, regulations, guidelines, models, and directives.
The following CMS manuals contain information specific to dental service providers:
- CMS IOM Pub. 100-01, Chapter 4, section-10.3 Certification for Hospital Admissions for Dental Services, section-70 Physician Defined and 70.2 Dentists
- CMS IOM Pub. 100-02, Chapter 1, section-30 Drugs and Biologicals and section-70 Inpatient Services in Connection with Dental Services
- CMS IOM Pub. 100-02, 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
- CMS IOM Pub. 100-02, Chapter 16, section-140 Dental Services Exclusion
- CMS IOM Pub. 100-04, Chapter 25 Part A CMS 1450 (UB-04) Data Set and Chapter 26 Part B
- CMS 1500 Data Set
- CMS IOM Pub. 100-08, Chapter 3, section-3.6.2.2 Reasonable and Necessary Criteria
Electronic Data Interchange (EDI)
Resources
Listed below are additional resources identified specifically for dental service providers:
- Change request (CR) 13181 Medicare Policy Updates for Dental Services as Finalized in the Calendar Year (CY) 2023 Physician Fee Schedule (MPFS) Final Rule
- CR13190 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
- Medicare Dental Coverage | CMS
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