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Oral Surgery: Non -Pathologic Excisional Procedures

Oral Surgery: Non -Pathologic Excisional Procedures Page 1 of 4 UnitedHealthcare Dental Coverage Guideline Effective 10/01/2021 Proprietary Information of UnitedHealthcare. Copyright 2021 United HealthCare Services, Inc. UnitedHealthcare Dental Cover a ge Guideline Oral Surgery: Non -Pathologic Excisional Procedures Guideline Number: Effective Date: October 1, 2021 Instructions for Use Table of Contents Page Coverage Rationale .. 1 Definitions .. 2 Applicable Codes .. 2 Description of Services .. 3 References .. 3 Guideline History/Revision Information.

Tuberosity: An osseous projection or protuberance. (AAP) Applicable Codes . The following list(s) of procedure and/or diagnosis codes is provided for reference purposes only and may not be all inclusive. Listing of a code in this guideline does not imply that the service described by the code is a covered or non-covered health service.

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