Admin – Answers

June 30, 2025 by Admin

Votes	Status	Answer
-2 votes	approved	The ICD-9-CM codes tell the story of why the procedure is being performed...so the correct ICD-9-CM ... posted October 27, 2012 11:09 am in reply to Is there an ICD-9-CM code for panoramic x-ray?
0 votes	approved	I would contact the insurance carrier and ask for an explanation as to why they are requesting you t... posted October 27, 2012 11:02 am in reply to Good afternoon. My question for you is the following: I submitted a claim for code D2752 which is crown- porcelain fused to nobel metal. The submission was sent with an x-ray of the tooth (#29) and an explanation on why a crown was the best treatment. The insurance company is telling me the code is wrong and that I need to resubmit with code D2792 Crown- full cast nobel metal. Why do I hae to submit for a full cast when a porcelain crown was done? Have the codes changed? How do I resubmit this? Thank you for your prompt attention.
0 votes	approved	D0180 cannot be billed by the hygienist as their range of practice does not include exams...this may... posted October 23, 2012 1:17 pm in reply to A patient that is scheduled with a hygienist. Can D0180 (comp perio eval)be billed under hygienist or only under provider?
0 votes	approved	D9951 would be considered inclusive in the primary procedure of D3330. It is expected that once a ro... posted October 10, 2012 9:16 am in reply to Can a D9951 be billed at the same time as a D3330 for the same patient same tooth number?
0 votes	approved	As long as the patient is condisdered by the dentist as a periodontal patient and the patient has en... posted October 10, 2012 7:12 am in reply to Patient had done SRP (D4341)in 2010, then in 2011 patient had done D1110. 6 month later patient had D4910. Can we bill D4910 if patient had prophy between D4341 and D4910? Or patient have to have a current SRP to be able to do D4910?
0 votes	approved	decidious teeth usually do not have what we recognize as root tips, you would still use D7111 for de... posted October 9, 2012 10:56 am in reply to How i could bill primary root tips, D7140?
0 votes	approved	Each carrier has there own set criteria, however, in general the following must be present. 1. pocke... posted October 9, 2012 8:21 am in reply to Can you explain what the criteria for a D4341/D4342 needs to be in order to allow this code to be billed. For example, what does the pocket depths need to be? How many need to be at that level.
0 votes	approved	Generally speaking they must bill under the supervision of a dentist. There are some procedures they... posted September 29, 2012 7:49 am in reply to Can an dental hygienists bill independently or must they bill under the supervising dentist?Thanks Brett
0 votes	approved	Medicare has a handbook on correct billing guidelines for dental procedures: http://cms.hhs.gov/site... posted September 25, 2012 11:07 am in reply to what is the best source for guidelines on medicare billing and dental.
1 vote	approved	The most appropriate code would be D7970... posted September 15, 2012 6:17 am in reply to My patient was diagnosed as having an Epulis Fissuratum. To treat this condition, the doctor must excise a small overlap of soft tissue. Whats the proper code for this procedure?

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