Anthem_Implant_Body_Fixture_Guideline_06-101
Clinical guideline describing Anthem's review criteria for placement of dental implant bodies (fixtures), including indications, required evaluations, documentation, and coding information; used to determine medical/dental necessity for utilization review, subject to member contract benefits.
Policy status marked as Revised; revision history shows prior revisions (12/14/16, 02/05/18) but no clinical policy statement changes are specified in latest content.
Coverage Summary
Clinical guideline describing Anthem's review criteria for placement of dental implant bodies (fixtures), including indications, required evaluations, documentation, and coding information; used to determine medical/dental necessity for utilization review, subject to member contract benefits.
Anthem performs review of dental implant placement to ensure services meet generally accepted standards of dental care and contractual requirements. A determination that a particular service is medically or dentally necessary does not constitute an indication or warranty that the service requested is a covered benefit payable by the dental plan; member contract benefits govern payment.
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