Admin – Answers

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?

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.

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.

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

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.

posted January 25, 2013 10:20 am in reply to What is the best way to describe the importance of ICD-9 diagnosis codes in the following situation: A pediatric dentist has his own practice, but also treats pt's in a hospital OR setting at times. Where do the ICD-9 codes come into play as far as treatment notes are concerned. The hospital will bill for the facility and anesthesia (the dental office will submit the D-codes). Is there protocol? I understand that the ICD-9's are diagnosis codes that help explain the "situation" per say. In a dental setting-where do these codes get noted? Thank you for your time :)

posted January 23, 2013 12:38 pm in reply to I need to code- get ICD-9 codes for a pharmacy for arestin- the conditions would be: Chronic Advanced periodontitis, and generalized marginal pappillary severe gingivitus.I am also trying to figure out what the correct bonegrafting codes we should be using. WE do them often, sometimes prior to implant, and soemtimes just for obtaining a level of bone for a prosthetic placment at some point. WE always do them with extractions and most of the time we also place the tissue- Mucograft.Is there a code for placing arestin when the patient gets it through a pharmacy? Either medical or dental?

posted January 22, 2013 3:20 pm in reply to Should incipeint area on occlusal,be billed as D2391 or D1352?

posted January 17, 2013 11:14 am in reply to Can an ultasonic cleaning be billed using a D1110?

posted January 15, 2013 1:50 pm in reply to We are a pediatric dental office and at times doctor treats patients in an OR hospital setting (out-pt) when necessary. He performed multiple extractions under code D7140 (Extraction Erupted Tooth EXR). Is there an equivalent CPT code that can be billed to the pt's medical insurance first or should I simply bill dental? Thank you, -Shellea