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Blue Cross Community CentennialSM New Dental Varnish Billing Code

November 22, 2017

Effective December 1, 2017, non-dental providers treating Blue Cross Community CentennialSM members may begin to bill the CPT code 99188 for application of fluoride dental varnish. The use of code 99188 replaces D1206. To facilitate the transition, Blue Cross and Blue Shield of New Mexico (BCBSNM) will continue to accept claims using D1206 through December 31, 2017. Effective January 1, 2018, BCBSNM will deny claims submitted using the D1206 code.

There is no change to reimbursement associated with this change. Please contact your BCBSNM Provider Relations Representative if you have any questions regarding this notice.