Admin – Answers

June 25, 2026 by Admin

Votes	Status	Answer
1 vote	approved	Question 1: No you may not charge an additional charge for the wax work-up it is considered inclusiv... posted July 3, 2013 10:49 am in reply to Doc is in network with Met Ins, they have the PPO contracted amount of 600.00 per veneer . Can you charge a variable additional charge for the wax workup?Question 2, If the doc has a documented standard lab partner, and the patient elects to utliize another lab for whatever reason can the office pass the expense of the difference between standard and patient preferred lab fees, as long as it is communicated to the insurance company (how would we communicate this if the answer is yes?) and the doc made absolutely no more money then is that o.k.?
0 votes	approved	There is no CPT code for D6056 as medical carriers do not cover the prosthetic portion of a dental i... posted July 2, 2013 7:22 am in reply to Good morning,I have a question. What would be the CPT procedure code for D6056 placing the abutment? We can't seem to find one that fits.
0 votes	approved	CPT code 41899 is to be used and listed seperately for each tooth with ICD-9-CM code 520.6.In box ... posted June 12, 2013 7:11 am in reply to I need to know how to code for four wisdom tooth impacted 1,16,17&32 in CMS 1500 form extractions?
0 votes	approved	Spacers are not billable procedures they are considered inclusive of another procedure. Usually spac... posted May 23, 2013 6:13 am in reply to What is the correct code for spacer band (rubber band between #3 and #A)?
-2 votes	approved	By spacer band we are assuming you are referring to a space maintainer? Is that correct?If so you ... posted May 18, 2013 6:56 am in reply to What is the correct code for spacer band?
0 votes	approved	The most accurate code would be CDT D7998... posted May 18, 2013 6:30 am in reply to How to code an appliance for maxillary diastema reduction?
0 votes	approved	Since there is no current code listed for zirconia crowns depending on the carrier they will request... posted May 17, 2013 5:31 am in reply to What code should a dentist bill when they are doing zirconia crowns?
2 votes	approved	No! Whatever procedure the doctor performs must be within his contratual guidelines. Meaning if he c... posted May 9, 2013 12:31 pm in reply to I have a insurnace question:Say that Dentist Joe is in Network with BlueCross Blue Shield They have agreed in their signed PPO contract that Dr. Joe will do crowns for 600.00. Dr. Joe calls this crown his Regular Crown. However, Dr. Joe has another level called the super duper duper crown. He utilizes a totally different lab, puts more levels of shading, really makes it shine. He has a 500.00 elective upcharge.So Chris the patient comes in and needs a crown. Dr. Joe says, “Chris you can get the regular which your insurance will cover, but for just a few bucks more I will give you the super duper duper which will look great!”. I say “o.k. Dr. Joe lets do it!”Dr. Joe submits the regular crown to insurance to get his 600.000 from BCBS. He also pockets the additional 500.00 buck and has a signed authoriztaion of understanding from Chris stating he fully knew the dealio.Is this o.k.?
0 votes	approved	No, according to carrier guidelines and utilization review standards the lab fee is considered inclu... posted May 8, 2013 9:32 am in reply to Should lab fees be separately billed from a total fee of a crown? For example; D2790 billing out for a gold crown.
0 votes	approved	You may not collect more than your usual and customary fee.So to answer your question, no, you wo... posted May 3, 2013 11:22 am in reply to If you receive full payment from a primary insurance, do you still submit the EOB and claim to the secondary as well? Thank you

« Previous 1 … 29 30 31 32 33 … 47 Next »