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Before the doctor and the hospital will allow the surgery to take place, they have asked for a "Total Joint replacement, dental evaluation and clearance." I have seen the dentist and she found two teeth broken below the gum line that were abscessed. Since she could not extract them herself, she sent me to an oral surgeon. According to MedicareInteractive.com and "The National Council on Aging", "Medicare will cover some dental services if they are required to protect your general health, or you need dental care in order for another health service that Medicare covers to be successful." and "Original Medicare may pay for dental services that are medically necessary prior to another Medicare-covered medical procedure." Would the extraction of the two diseased teeth be covered under Medicare in this instance?'

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You might want to ask the office of the surgeon who will do the replacement surgery if she/he has someone on staff who "boards surgeries". These people schedule surgeries, and might either be aware of whether or not Medicare would cover the dental work, or have some suggestions, such as MAC makes.

Medicare might require specific data in the procedure coding before it pays the claim. This might be something you'll also have to ask the oral surgeon's staff, as the issue of payment probably would focus on how the dental work is coded by the dental office.

You've found some good information on Medicare; try to confirm it with the surgeon and dental surgeon, based on their individual and collective experiences.
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