PARSIPPANY, N.J. —July 1, 2017 — As of September 1, 2017, procedure codes D7960 and D7963 will no longer be a covered benefit when submitted as a separate procedure, and will not be payable by Delta Dental.
All denied submissions of D7960 and D7963 may be appealed. Any appeal must include a narrative.
We may also require photographs and/or documentation of medical necessity from the referring physician.
The 2018 Participating Handbook will reflect the change under the processing policy section (Chapter 9) and in the required documentation table (Chapter 4).
About Delta Dental
Delta Dental of New Jersey, Inc. is New Jersey’s leading dental benefits company, providing or administering coverage to more than 1.6 million people through contracts with groups in New Jersey and Connecticut. In Connecticut, Delta Dental of Connecticut, Inc. is a newly licensed insurer that writes dental coverage on an insured basis, and Delta Dental of New Jersey administers self-funded dental benefit programs. For more information, visit www.deltadentalnj.com.
Notice
Change Healthcare announced a breach of HIPAA privacy and is reaching out to individuals whose personal information may have been compromised. Although this incident does not involve Delta Dental of New Jersey or Connecticut, Change Healthcare is a vendor we used and we are providing this information to help our members who might be affected.
Important Change Regarding Procedure Codes D7960 and D7963
July 1, 2017
Delta Dental of New Jersey is a part of Delta Dental Plans Association. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories.
