BCBSM/BCN Dual Header The Record Header Logo

The Record - Insurance Card with the BCBSM/BCN Cross and Shield logo that reads, Blue Cross Blue Shield, Blue Care Network of Michigan. Tagline: Confidence comes with every card. Image of Note boards with paper that has the letters RX on it accompanied by a stethoscope

Forward to a friend  |  Subscribe  |  The Record Archive  |  Contacts  |  bcbsm.com  |  Print this article
November 2018

Procedure code D0190 not a covered dental or medical benefit

As a reminder, procedure code D0190 isn’t a covered dental or medical benefit. This dental code indicates screening (including state or federally mandated screening) used to determine an individual's need to be seen by a dentist for diagnosis.

Professional providers who provide screening for this purpose shouldn’t bill procedure code D0190. This service is considered an integral part of a routine evaluation and management service and isn’t separately reimbursable.

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 2017 American Medical Association. All rights reserved.
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and
independent licensees of the Blue Cross and Blue Shield Association.