Occlusal guards are removable dental appliances designed to minimize the effects of bruxism (grinding of teeth) and other occlusal factors.
ForwardHealth covers occlusal guards with PA.
Coverage is limited to one occlusal guard per year.
Note: Occlusal guards are different from sports guards (procedure code D9941) and TMJ splints (procedure code D7880). ForwardHealth does not cover either sports guards or TMJ splints.
Providers are required to indicate the fabrication and dispensing of occlusal guards using CDT procedure code D9940 (occlusal guards, by report) on all PA requests and claims.