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September 2015

Progress notes for grafting services for dentist and oral surgeons required

Blue Cross Blue Shield of Michigan is making changes to how it processes grafting services billed by dentists and oral surgeons. Procedure codes 20900, 20902, 20969, 21210 and 21215 will now require that the progress notes be submitted for payment consideration when billed by a dentist or an oral surgeon.

For more information, contact your provider consultant. You can also contact Blue Cross’s Department of Provider Enrollment and Data Management at 1-800-822-2761, by fax at 1-866-900-0250 or by email to Providerenroll@bcbsm.com.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2014 American Medical Association. All rights reserved.
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and
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