CareFirst Blue Cross Blue Shield Maryland policy

dental clinical criteria cut0303

dental clinical criteria cut0303 is a public CareFirst Blue Cross Blue Shield Maryland policy. It lists 132 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

View the original policy (PDF) ↗

Payer
CareFirst Blue Cross Blue Shield Maryland
Line of business
Commercial
Source
provider.carefirst.com

Codes in this policy

The CPT and HCPCS codes the policy names. A policy can name a code it excludes.

CodeOther CareFirst Blue Cross Blue Shield Maryland policies
00580Policies naming 00580
D0120Policies naming D0120
D0145Policies naming D0145
D0150Policies naming D0150
D0180Policies naming D0180
D0486Policies naming D0486
D2510Policies naming D2510
D2644Policies naming D2644
D2710Policies naming D2710
D2928Policies naming D2928
D2949Policies naming D2949
D2950Policies naming D2950
D2952Policies naming D2952
D2954Policies naming D2954
D2960Policies naming D2960
D2962Policies naming D2962
D2989Policies naming D2989
D3230Policies naming D3230
D3240Policies naming D3240
D3410Policies naming D3410
D3421Policies naming D3421
D3425Policies naming D3425
D3426Policies naming D3426
D3428Policies naming D3428
D3429Policies naming D3429
D3432Policies naming D3432
D3450Policies naming D3450
D3920Policies naming D3920
D3950Policies naming D3950
D4240Policies naming D4240
D4241Policies naming D4241
D4260Policies naming D4260
D4261Policies naming D4261
D4263Policies naming D4263
D4264Policies naming D4264
D4265Policies naming D4265
D4266Policies naming D4266
D4267Policies naming D4267
D4270Policies naming D4270
D4271Policies naming D4271
D4273Policies naming D4273
D4275Policies naming D4275
D4276Policies naming D4276
D4277Policies naming D4277
D4278Policies naming D4278
D4283Policies naming D4283
D4285Policies naming D4285
D4286Policies naming D4286
D4341Policies naming D4341
D4342Policies naming D4342
D4346Policies naming D4346
D4355Policies naming D4355
D4910Policies naming D4910
D4921Policies naming D4921
D5863Policies naming D5863
D5864Policies naming D5864
D5865Policies naming D5865
D5866Policies naming D5866
D6010Policies naming D6010
D6011Policies naming D6011
D6013Policies naming D6013
D6100Policies naming D6100
D6103Policies naming D6103
D6104Policies naming D6104
D6106Policies naming D6106
D6107Policies naming D6107
D6205Policies naming D6205
D6252Policies naming D6252
D6600Policies naming D6600
D6634Policies naming D6634
D6710Policies naming D6710
D6794Policies naming D6794
D6985Policies naming D6985
D7210Policies naming D7210
D7220Policies naming D7220
D7230Policies naming D7230
D7240Policies naming D7240
D7241Policies naming D7241
D7250Policies naming D7250
D7251Policies naming D7251
D7260Policies naming D7260
D7261Policies naming D7261
D7270Policies naming D7270
D7272Policies naming D7272
D7280Policies naming D7280
D7282Policies naming D7282
D7283Policies naming D7283
D7284Policies naming D7284
D7285Policies naming D7285
D7286Policies naming D7286
D7288Policies naming D7288
D7290Policies naming D7290
D7310Policies naming D7310
D7311Policies naming D7311
D7320Policies naming D7320
D7321Policies naming D7321
D7340Policies naming D7340
D7350Policies naming D7350
D7410Policies naming D7410
D7440Policies naming D7440
D7441Policies naming D7441
D7450Policies naming D7450
D7451Policies naming D7451
D7460Policies naming D7460
D7461Policies naming D7461
D7465Policies naming D7465
D7471Policies naming D7471
D7472Policies naming D7472
D7473Policies naming D7473
D7485Policies naming D7485
D7490Policies naming D7490
D7510Policies naming D7510
D7511Policies naming D7511
D7520Policies naming D7520
D7521Policies naming D7521
D7950Policies naming D7950
D7951Policies naming D7951
D7953Policies naming D7953
D7956Policies naming D7956
D7957Policies naming D7957
D7961Policies naming D7961
D7963Policies naming D7963
D7970Policies naming D7970
D7971Policies naming D7971
D7972Policies naming D7972
D8010Policies naming D8010
D8040Policies naming D8040
D8070Policies naming D8070
D8080Policies naming D8080
D8090Policies naming D8090
D8210Policies naming D8210
D8220Policies naming D8220

All CareFirst Blue Cross Blue Shield Maryland policies

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.