Prior authorization codes

Clear Spring Health

Active CPT codes that appear on the extracted prior authorization list for this health plan.

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CodeProcedure / ServiceEffectiveRevisedConfidenceSource
02226
publication is available at: www.medicare.gov/Pubs/pdf/ -Medicare-and-Clinical-Research
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
10820
WRITE Guilford Road, Suite 202
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
11435
https://www.medicare.gov/sites/default/files/2021-10/
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
11534
www.medicare.gov/Pubs/pdf/ -Medicare-Rights-and-Protections.pdf.)
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
14718
P.O. Box
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
20701
Annapolis Junction, MD
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
21244
Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland -1850
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
23219
Building, 109 Governor Street Richmond, VA
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
23229
Number/TTY
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
33027
Miramar, FL
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
33313
Plantation, FL
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
40512
Lexington, KY -4718
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
63166
St. Louis, MO -6588
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
66097
P.O. Box
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
66588
P.O. Box
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
75266
Dallas, TX -0907
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D0120
Periodic oral evaluation Two ( , , ) every Preventive
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D0140
Limited oral evaluation 3 per 12 months not allowed with Preventive
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D0150
Comprehensive oral exam One of ( , ) every 36 Preventive
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D0160
Periodic oral evaluation Two ( , , ) every Preventive
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D0170
Periodic oral evaluation Two ( , , ) every Preventive
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D0180
Comprehensive oral exam One of ( , ) every 36 Preventive
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D0210
Intraoral-complete series One of ( , , ) Preventive
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D0220
Intraoral periapical-1st One of , per date of service. Preventive
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D0230
Intraoral periapical-each additional Preventive
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D0240
Intraoral occlusal radiographic Two per 24 months Preventive
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D0270
Bitewing-single radiographic One of ( , , , Preventive
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D0272
Bitewing-single radiographic One of ( , , , Preventive
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D0273
Bitewing-single radiographic One of ( , , , Preventive
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D0274
image ) every 12 months, per patient
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D0277
Intraoral-complete series One of ( , , ) Preventive
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D0330
Intraoral-complete series One of ( , , ) Preventive
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D1110
Phrophylaxis-adult Two of ( , , ) Preventive
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D1206
Topical application of fluoride 2 of ( , , ) per 12 Preventive
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D1208
Topical application of fluoride 2 of ( , , ) per 12 Preventive
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2140
Amalgam - one surface, primary or One of ( , , , Restorative
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2150
Amalgam - one surface, primary or One of ( , , , Restorative
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2160
Amalgam - one surface, primary or One of ( , , , Restorative
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2161
permanent
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2330
permanent
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2331
permanent
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2332
permanent
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2335
D2393, D2394, D2990), one
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2390
D2393, D2394, D2990), one
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2391
D2393, D2394, D2990), one
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2392
D2393, D2394, D2990), one
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2393
), one
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2394
), one
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2510
Inlay-metallic-one surface One of ( , , , Restorative
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2520
Inlay-metallic-one surface One of ( , , , Restorative
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2530
Inlay-metallic-one surface One of ( , , , Restorative
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2542
D2620, D2630, D2642, D2643,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2543
D2620, D2630, D2642, D2643,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2544
D2620, D2630, D2642, D2643,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2610
D2620, D2630, D2642, D2643,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2620
D2644, D2650, D2651, D2652,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2630
D2644, D2650, D2651, D2652,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2642
D2644, D2650, D2651, D2652,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2643
D2644, D2650, D2651, D2652,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2644
D2662, D2663, D2664, D2710,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2650
D2662, D2663, D2664, D2710,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2651
D2662, D2663, D2664, D2710,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2652
D2662, D2663, D2664, D2710,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2662
D2712, D2720, D2721, D2722,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2663
D2712, D2720, D2721, D2722,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2664
D2712, D2720, D2721, D2722,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2710
D2712, D2720, D2721, D2722,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2712
D2740, D2750, D2751, D2752,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2720
D2740, D2750, D2751, D2752,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2721
D2740, D2750, D2751, D2752,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2722
D2740, D2750, D2751, D2752,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2740
D2753, D2780, D2781, D2782,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2750
D2753, D2780, D2781, D2782,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2751
D2753, D2780, D2781, D2782,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2752
D2753, D2780, D2781, D2782,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2753
D2783, D2790, D2791, D2792,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2780
D2783, D2790, D2791, D2792,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2781
D2783, D2790, D2791, D2792,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2782
D2783, D2790, D2791, D2792,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2783
D2794), once per tooth per 60
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2790
D2794), once per tooth per 60
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2791
D2794), once per tooth per 60
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2792
D2794), once per tooth per 60
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2794
), once per tooth per 60
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2799
Provisional crown Disallow - included in the crown Restorative
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2910
Recement or re-bond inlay, onlay, Once per tooth per 24 months only Restorative
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2915
Recement or re-bond indirectly Once per tooth per 24 months only Restorative
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2920
Recement or re-bond crown Once per tooth per 24 months only Restorative
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2940
Protective restoration-direct Once per tooth per lifetime Restorative
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2950
Core build-up, including any pins One of ( , , ) Restorative
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2951
Pin retention-per tooth, in addition One of once per tooth per 60 Restorative
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2952
Core build-up, including any pins One of ( , , ) Restorative
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2953
Each additional post, same tooth, One per 60 months per tooth when Restorative
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2954
Core build-up, including any pins One of ( , , ) Restorative
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2980
Crown repair necessitated by Once per tooth per 24 months only Restorative
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2990
), one
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D2999
Unspecified restorative procedure, Restorative
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D3220
Therapeutic Pulpotomy One of ( or ) once per Endodontics
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D3221
Therapeutic Pulpotomy One of ( or ) once per Endodontics
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D3310
Endodontic therapy, (root canal), Once per permanent tooth per Endodontics
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D3320
Endodontic therapy (root canal), Once per permanent tooth per Endodontics
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D3330
Endodontic therapy (root canal), Once per permanent tooth per Endodontics
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D3331
Treatment of root canal Once per permanent tooth per Endodontics
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D3346
Retreatment of previous root canal Once per permanent tooth per Endodontics
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D3347
Retreatment of previous root canal Once per permanent tooth per Endodontics
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D3348
Retreatment of previous root canal Once per permanent tooth per Endodontics
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D3410
Apicoectomy-anterior Once per permanent tooth per Endodontics
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D3421
Apicoectomy/periradicular Once per permanent tooth per Endodontics
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D3425
Apicoectomy/periradicular Once per permanent tooth per Endodontics
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D3426
Apicoectomy/periradicular surgery Once per permanent tooth per Endodontics
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D3430
Retrograde filling Once per tooth per lifetime Endodontics
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D3999
Unspecified endontonic procedure Endodontics
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D4210
Gingivectomy-gingivoplasty-four One of ( , ) once per Periodontics
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D4211
Gingivectomy-gingivoplasty-four One of ( , ) once per Periodontics
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D4240
Gingival flap procedure, including One of ( , ) once per Periodontics
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D4241
Gingival flap procedure, including One of ( , ) once per Periodontics
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D4249
Clinical crown lengthening-hard Once per permanent tooth per Periodontics
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D4260
Osseous surgery - four or more One of ( or ), once per Periodontics
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D4261
Osseous surgery - four or more One of ( or ), once per Periodontics
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D4341
Periodontal scaling and root One of ( or ), once per Periodontics
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D4342
Periodontal scaling and root One of ( or ), once per Periodontics
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D4346
Phrophylaxis-adult Two of ( , , ) Preventive
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D4355
Full mouth debridement to enable One per 36 months, per patient Periodontics
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D4910
Phrophylaxis-adult Two of ( , , ) Preventive
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D4999
Unspecified periodontal procedure Periodontics
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5110
Complete denture - maxillary One of ( , , , Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5120
Complete denture - mandibular One of ( , , , Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5130
Complete denture - maxillary One of ( , , , Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5140
Complete denture - mandibular One of ( , , , Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5211
Complete denture - maxillary One of ( , , , Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5212
Complete denture - mandibular One of ( , , , Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5213
Oral/Maxillofacial
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5214
Oral/Maxillofacial
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5221
Oral/Maxillofacial
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5222
Oral/Maxillofacial
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5223
Oral/Maxillofacial
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5224
Oral/Maxillofacial
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5225
Oral/Maxillofacial
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5226
Oral/Maxillofacial
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5227
Surgery, Other Services
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5228
Surgery, Other Services
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5410
Adjust complete denture- Two adjustments per arch per 12 Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5411
Adjust complete denture - Two adjustments per arch per 12 Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5421
Adjust partial denture - maxillary Two adjustments per arch per 12 Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5422
Adjust partial denture - mandibular Two adjustments per arch per 12 Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5511
Repair broken complete denture Once per arch per 12 months (after 6 Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5512
Repair broken complete denture Once per arch per 12 months (after 6 Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5520
Replace missing or broken teeth - Once per tooth per 12 months (after Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5611
Repair resin denture base, Once per arch per 12 months Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5612
Repair resin denture base, Once per arch per 12 months Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5621
Repair cast framework, Once per arch per 12 months Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5622
Repair cast framework, maxillary Once per arch per 12 months Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5630
Repair or replace broken clasp-per Once per tooth per 12 months Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5640
Replace broken teeth - per tooth Once per tooth per 12 months Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5650
Add tooth to existing partial Once per tooth per 12 months Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5660
Add clasp to existing partial Once per tooth per 12 months Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5710
Rebase complete maxillary denture One of ( , , ) per Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5711
Rebase complete mandibular One of ( , , ) per Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5720
Rebase maxillary partial denture One of ( , , ) per Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5721
Rebase mandibular partial denture One of ( , , ) per Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5725
Rebase of hybrid prosthesis One of per arch per 36 Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5730
Rebase complete maxillary denture One of ( , , ) per Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5731
Rebase complete mandibular One of ( , , ) per Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5740
Rebase maxillary partial denture One of ( , , ) per Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5741
Rebase mandibular partial denture One of ( , , ) per Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5750
Rebase complete maxillary denture One of ( , , ) per Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5751
Rebase complete mandibular One of ( , , ) per Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5760
Rebase maxillary partial denture One of ( , , ) per Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5761
Rebase mandibular partial denture One of ( , , ) per Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5765
Soft liner for complete or partial One of per arch per 36 Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5850
Tissue conditioning maxillary Only allowed in conjunction with Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5851
Tissue conditioning mandibular Only allowed in conjunction with Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5863
Surgery, Other Services
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5864
Surgery, Other Services
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5865
Surgery, Other Services
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5866
Surgery, Other Services
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5876
Add metal substructure to acrylic Only allowed on the same date of Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5899
Unspecified removable Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D5999
Unspecified maxillofacial Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6110
Surgery, Other Services
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6111
Surgery, Other Services
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6112
), once per 60 months, per
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6113
), once per 60 months, per
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6205
Pontic-indirect resin-based One of ( , , , Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6210
Pontic-indirect resin-based One of ( , , , Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6211
Pontic-indirect resin-based One of ( , , , Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6212
composite , , , , Oral/Maxillofacial
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6214
composite , , , , Oral/Maxillofacial
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6240
composite , , , , Oral/Maxillofacial
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6241
composite , , , , Oral/Maxillofacial
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6242
Surgery, Other Services
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6243
Surgery, Other Services
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6245
Surgery, Other Services
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6250
Surgery, Other Services
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6251
) per tooth per 60
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6252
) per tooth per 60
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6545
Retainer - cast metal for resin One of ( , , , Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6548
Retainer - cast metal for resin One of ( , , , Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6549
Retainer - cast metal for resin One of ( , , , Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6602
bonded fixed prosthesis , , , , Oral/Maxillofacial
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6603
bonded fixed prosthesis , , , , Oral/Maxillofacial
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6604
bonded fixed prosthesis , , , , Oral/Maxillofacial
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6605
bonded fixed prosthesis , , , , Oral/Maxillofacial
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6606
Surgery, Other Services
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6607
Surgery, Other Services
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6608
Surgery, Other Services
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6609
Surgery, Other Services
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6610
D6614, D6615, D6624, D6634,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6611
D6614, D6615, D6624, D6634,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6612
D6614, D6615, D6624, D6634,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6613
D6614, D6615, D6624, D6634,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6614
D6710, D6720, D6721, D6722,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6615
D6710, D6720, D6721, D6722,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6624
D6710, D6720, D6721, D6722,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6634
D6710, D6720, D6721, D6722,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6710
D6740, D6750, D6751, D6752,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6720
D6740, D6750, D6751, D6752,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6721
D6740, D6750, D6751, D6752,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6722
D6740, D6750, D6751, D6752,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6740
D6753, D6780, D6781, D6782,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6750
D6753, D6780, D6781, D6782,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6751
D6753, D6780, D6781, D6782,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6752
D6753, D6780, D6781, D6782,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6753
D6784, D6790, D6791, D6792,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6780
D6784, D6790, D6791, D6792,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6781
D6784, D6790, D6791, D6792,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6782
D6784, D6790, D6791, D6792,
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6784
D6793, D6794), per tooth per 60
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6790
D6793, D6794), per tooth per 60
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6791
D6793, D6794), per tooth per 60
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6792
D6793, D6794), per tooth per 60
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6793
), per tooth per 60
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6794
), per tooth per 60
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6930
Re-cement fixed partial denture Once per 24 months only after 6 Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6980
Fixed partial denture repair, Once per 24 months only after 6 Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D6999
Unspecified fixed prosthodontics Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7140
Extraction - erupted tooth or Once per tooth per lifetime Extractions
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7210
Surgical removal of erupted tooth Once per tooth per lifetime Extractions
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7220
Removal impacted tooth-soft Once per tooth per lifetime Extractions
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7230
Removal of impacted tooth - Once per tooth per lifetime Extractions
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7240
Removal of impact tooth- Once per tooth per lifetime Extractions
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7241
Removal of impacted tooth - Once per tooth per lifetime Extractions
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7250
Surgical remove of residual roots Once per tooth per lifetime Extractions
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7251
Coronectomy Once per tooth per lifetime Extractions
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7260
Oralantral fistula closure 2 per Arch per lifetime Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7261
Primary closure of a sinus 2 per Arch per lifetime Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7285
Incisional biopsy of oral tissue- Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7286
Incisional biopsy of oral tissue-soft Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7310
Alveoloplasty with extractions- One of ( or ) per Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7311
Alveoloplasty with extractions- One of ( or ) per Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7320
Alveoloplasty not in conjunction One of ( or ) per Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7321
Alveoloplasty not in conjunction One of ( or ) per Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7340
Vestibuloplasty - ridge extension One per arch per lifetime Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7350
Vestibuloplasty-ridge extensions One per arch per lifetime Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7410
Excision of benign lesion of up Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7411
Excision of benign lesion greater Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7440
Excision of malignant tumor - Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7441
Excision of malignant tumor - Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7450
Removal of benign odontogenic Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7451
Removal of benign odontogenic Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7460
Removal of benign Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7461
Removal of benign Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7471
Removal of lateral exostosis 2 per arch per lifetime per Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7472
Removal of Torus Palatinus Once per lifetime per Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7473
Removal of torus mandibularis 2 per lifetime per patient/member, Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7485
Reduction of osseous tuberosity 2 per lifetime per patient/member, Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7510
Incision and drainage of abscess - not allowed in conjunction with Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7520
Incision and drainage of abscess - Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7521
Incision and drainage of abscess Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7961
Buccal / labial frenectomy One ( , ) once per arch Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7962
Lingual frenectomy One ( ) once per arch per Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7963
Buccal / labial frenectomy One ( , ) once per arch Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7970
Excision of hyperplastic tissue - Once per arch per lifetime Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7971
Excision of pericoronal gingiva Once per tooth per lifetime Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D7999
Unspecified oral surgery Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D9110
Palliative (emergency) treatment Not allowed with anything other Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D9222
Deep Sedation/general anesthesia- One per member per date of service. Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D9223
Deep Sedation/general anesthesia- 3 per member per date of service. Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D9230
Inhalation of nitrous oxide/ One per member per date of service. Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D9239
first 15 minutes Not allowed with ( , ) Oral/Maxillofacial
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D9243
first 15 minutes Not allowed with ( , ) Oral/Maxillofacial
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D9248
) on the same Surgery, Other Services
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D9310
Consultation - diagnostic service One per provider or location per Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D9410
House/ Extended care facility call One per date of service. 6 per year. Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D9420
Hospital or ambulatory surgical One per date of service. 6 per year. Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D9910
Topical application of fluoride 2 of ( , , ) per 12 Preventive
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D9930
Treatment of complications (post- Once per year per patient. Not to be Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D9950
Occlusal analysis- mounted case One of ( , ) per 60 Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D9951
Occlusal adjustment - limited Once per 12 months Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D9952
Occlusal analysis- mounted case One of ( , ) per 60 Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D9995
Teledentistry – synchronous; real- One of ( or ) per Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D9996
Teledentistry – synchronous; real- One of ( or ) per Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health
D9999
Unspecified adjunctive procedure, Prosthodontics,Other
2026-07-06Not listed97%
[PDF] Evidence of Coverage: - Clear Spring Health