I work in a pediatric dental office, and my doctor also treats some of our pt’s in an OR setting at the hospital when they require multiple fillings coupled with dental anxiety etc. I understand that doctor has to provide the hospital with an ICD-9 diagnosis code so they can properly bill medical insurance and I bill dental (using the D-codes unless able to bill medical first). My question concerns the CPT book. Am I correct in understanding that this book will come into play if I bill medical insurance only NOT dental using the 1500 form? How does this work in office as oppose to in treatment being done in the hospital? Thank you, -Shellea
CPT codes are only used when submitting claims to medical carriers on CMS 1500 forms, you do not use CPT codes for dental claims submitted to dental carriers on ADA2006 forms.
American Dental Coders Association
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