Admin – Answers

June 22, 2026 by Admin

Votes	Status	Answer
0 votes	approved	Since consult codes are no longer recognized or paid by insurance carriers, depending what the DDS s... posted March 7, 2013 12:47 pm in reply to Is it common for dentists to bill consult codes in an out-patient/in-patient hospital setting? 99241-99245 & 99251-99255.
0 votes	approved	It would depend on what other service you are billing D4211 with and what the carriers Utilization R... posted March 1, 2013 11:19 am in reply to what would i submit to assist with coding D4211 to obtain payment & not a denied as "part of the service" reply
1 vote	approved	Most carriers would consider 7 or more contiguous teeth to be considered major surgery...yes you wou... posted February 28, 2013 6:32 am in reply to How many extractions are considered a major surgery? Does 41899 (used for extractions) have a global period?
0 votes	approved	While "desensitizing appointments" are a common occurance in Pediartic offices this is usually done ... posted January 1, 1970 12:00 am in reply to Is there a D-code that fits the following scenario: Pediatric dental office, pt (6 years old) presents with dental anxiety/hesitation; Dr would like to see him every 4 months for what he calls a "desensitizing appointment" which aims to make the pt feel more at ease in the dental office. Thank You
0 votes	approved	The correct ICD-9-CM code for Cerebral Palsy is 343.9... posted February 12, 2013 11:28 am in reply to What is the best ICD-9 diagnosis code to use for a pt with Cerebral Palsy who must be treated in the OR under general anesthesia? Thank you
1 vote	approved	According to HIPAA Explanation of Benefits should not be part of the patients chart, any financial i... posted February 6, 2013 12:41 pm in reply to Do EOB's get scanned into a pt's chart? If so, what is protocol for insurance EOB's that are returned concerning multiple pt's?
0 votes	approved	If a patient (child) has dual insurace meaning they have two dental plans the primary insurance will... posted February 5, 2013 10:27 am in reply to When it comes to double coverage, and we submit a claim to the primary insurance first, does this always mean medical coverage? I remember hearing that Primary means medical? How does this come into play in the dental field? We see pt's in our private practice as well as in hospital out-pt OR setting when necessary.Thank you for any clarification.
-1 votes	approved	If billing medical for the extractions you will use 41899 and list it however many extractions were ... posted February 5, 2013 10:23 am in reply to > If a young child had extensive restorative dental work completed in > an out-pt OR hospital setting, as well as 8 extractions (D7140), how > do I go about billing medical for the extractions. I was told in a > previously submitted question that CPT code 41899 can be used to bill > medical using the CMS-1500 form if more than 7 extractions were > performed. > > I am a little confused on how to approach the 1500 form. Do I need to > include all of the D-codes charged out for the apt as well? The > extractions are the only ones I can submit to medical insurance under > code 41899 to my understanding. > > Or do I only bill code 41899 eight different times on the CMS-1500 > form and not include the other D-codes? > > Would this process change if the insurance provider is the same for both the medical > and dental benefits? > > Thank you for you time. I really appreciate any clarification I can > get.
0 votes	approved	The ICD-9-CM code for cerebral palsy is 343.9 You must be more specific on the type of mental/devel... posted January 31, 2013 3:59 pm in reply to If a pt. presents with cerebral palsy and mental/developmental issues- what is the best ICD-9 Diagnosis code? Thank you
-1 votes	approved	Usually the post operative treatment will be considered inclusive in the primary procedure and there... posted January 26, 2013 1:52 pm in reply to After a pt has been seen in an OR out-pt setting under general anesthesia for dental treatment, and is then seen back in the private practice two weeks later for a post-operative exam; What is the best CDT code to use? Thank you.

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