CPT code 21248 is for partial restorations using implants involving less than half of the arch, while 21249 is for complete restorations involving more than half of the arch. Do not report these codes for each implant.
You are here
For all dates of service on or after Jan. 1, 2021, HealthChoice will reduce the allowable fee 25% for services billed with modifiers 52 (reduced services), 53 (discontinued procedure) and 73 (discontinued outpatient hospital/ASC). HealthChoice currently does not reduce the allowable fee.
HealthChoice covers orthodontic services for members under the age of 19; and for members ages 19 and older with temporomandibular joint dysfunction. Certification is required through the HealthChoice Health Care Management Unit for members aged 19 and older.
HealthChoice Customer Care has updated the interactive voice response system. To help us serve you better, please choose the option for provider. After following the prompts for eligibility or claim status, you have the opportunity to speak to a customer care representative.