Coverage of Services Delivered through Telehealth Technology by Third Party Carriers
| CODE | CARRIER |
|
D0140 |
Ameritas, Anthem, Argus Dental, Atena, Blue Cross Blue Shield Massachusetts, Blue Cross NC/ Dental Blue, CareFirst BlueCross BlueShield, Cigna, Delta Dental, DentaQuest, Dominion National, Envolve Dental, Guardian, Humana, Liberty, Lincoln Financial Group, MetLife, Principal, Sun Life, United Concordia, United Healthcare, Unum/Colonial Life |
|
D0170 |
Ameritas, Anthem, Argus Dental, Atena, Blue Cross NC/ Dental Blue, CareFirst BlueCross BlueShield, Cigna, Delta Dental, DentaQuest, Dominion National, Envolve Dental, Guardia, Humana, Liberty, Lincoln Financial Group, MetLife, Principal, Sun Life, United Healthcare, Unum/Colonial Life |
|
D0171 |
Delta Dental, Dominion National, Envolve Dental, Guardian, Humana, Liberty, Lincoln Financial Group, United Healthcare |
Based on ADA updates.
This is not an exhaustive list of teledentistry applicable codes.
Disclaimer: coverage subject to state laws, practice acts and individual policies. Check with carriers for further details.
Note: When providing services via teledentistry, one of the following codes should also be reported:
- D9995 teledentistry – synchronous; real-time encounter
- D9996 teledentistry – asynchronous; information stored and forwarded to dentist for subsequent review