MAINE MEDICAL ASSISTANCE MANUAL

CDT Description: The narrative description of the procedure code will be listed in this column. 3. Covered Service: This column identifies whether a particular service is covered under the MaineCare program, indicated by a "YES," or not covered, indicated by a "NO." ... (Frenectomy or Frenotomy) - Separate Procedure Yes Yes No Yes $97.00 D7963 ... ................
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