Admin – Answers

posted January 14, 2013 8:47 pm in reply to 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

posted January 14, 2013 7:45 pm in reply to I would like to know the most specific code for generalized, gross dental decay using the ICD-9. Would it be code 521.03 Dental caries extending into the pulp? Or is there a better code that uses the terms "gross decay?" Thank you for your help. -Shellea

posted January 10, 2013 5:05 pm in reply to Can you please explain D1208 vs D1206 since the new CDT 2013 Dental Revisions have been done? We see predominately Medicaid patients and Medicaid only covers D1208 but some of our providers want to bill D1206 for all visits. I need a better understanding of when it is appropriate to bill D1206 and when to bill D1208.

posted January 6, 2013 1:05 pm in reply to Are there any resources available for orthodontic billing and coding specifically? I work for Kool Smiles Corporate and I'm trying to find a course that will allow me to become certified as an ortho billing specialist.

posted December 28, 2012 2:57 pm in reply to Ok. I am posting payments for claims paid.Some of the procedures need corrections and have been rejected.But I still have to post the ones paid.Do i delete the claim and just select the ones paid and post those.select the other ones that need corrections and print a new claim and resubmit them?

posted December 28, 2012 1:52 pm in reply to Can D4355 be billed in the same day with D1110? Thank you

posted December 14, 2012 6:27 am in reply to If the surfaces do not touch on a multiple surface restoration would it be appropriate to bill two single restoration codes indicating the surface? (i.e. distal and mesial surface that are not touching) or would it be appropriate to bill 1 two surface code?

posted December 5, 2012 10:51 am in reply to Arch bar Removal CPT 20670 was performed on the maxillary and the mandible bones. That’s 2 different bones in the same operative session. Can this procedure can be reported twice. Or is this considered one procedure?

posted November 15, 2012 8:26 am in reply to Looking for a CPT code equivalent to CDT code D7270

posted October 30, 2012 12:10 pm in reply to Can code D1352 Preventive resin restoration be billed out as code D2391?