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Admin – Answers

June 30, 2025 by Admin

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If you are removing gingiva for the purpose of giving more tooth structure for a crown the most appr...
posted July 6, 2012 8:19 am in reply to I have asked two similar questions and gotten two different answers (see below). I need to know which code is more correct for our situation. If reviewed by the Dept. of Health, I desperately need to know which code is more accurate - we are not contracted with any insurance companies, so what "they" would want us to file is irrelevant. Also, in code D4231 - the 2011-2012 CDT says, "to remove enlarged gingival tissue AND supporting bone.." What if the doctor is NOT removing bone? Is this code still accurate?In response to question 'If the doctor trims some healthy gum tissue to give a crown or bridge more tooth to adhere to, what gingivectomy type code should we use? Thank you.' The answer is: D4211In response to question 'When the doctor uses an electrosurge to clean up gum tissue for the purposes of removing granulation tissue, enhancing the aesthetics of a crown and increasing impression ease/accuracy.. what periodontal oriented code would best fit this?' The answer is: The most appropriate code based on the information provided would be D4231 (anatomical crown exposure-one to three teeth per quadrat). Please note: You should always check with carrier guidelines prior to submitting a claim
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According to most carriers it should be billed out on the delivery date....
posted June 27, 2012 7:35 am in reply to CPT codes 21076-21085 is impression and custom prep of prosthesis. When do you bill the code out? On the day the doctor fabricates the prosthesis or the date of delivery of the prosthesis?
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D8660 usually includes the following Exam, treatment plan and consultation between other dentists in...
posted June 27, 2012 7:32 am in reply to What is performed/included for D8660 (pre-orthodontic treatment visit)?
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This is really a carrier driven question, some carriers will allow the exam to be performed on the s...
posted June 27, 2012 6:32 am in reply to Can D4355 be billed in the same day with D0150 or D0120? Thank you
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99512 would be an inapproiate code for sleep apenea / tap appliance as the code is used for Home Hea...
posted January 1, 1970 12:00 am in reply to Just started at a new clinic and when billing a grp health ins for tap appliance - they are using E0486 for the appliance 92520 for the study, 70350 for raiograph, but would they be using 99512? I thought that for is ? I am not sure but I thought that was for Hemodialysis? Thanks, M
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Whether the lab made the inlay or onlay has no bearing on the code. It is the same as if you were bi...
posted January 1, 1970 12:00 am in reply to What ADA codes should be used when delivering a lab made Onlay and/or Inlay? Thank you.
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41899...
posted May 31, 2012 7:15 pm in reply to What is correct CPT code for full bony impaction?I am rather lost for this one, any help to get me in the correct direction would be greatly appreciated. Thank you.
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Depending on the insurance carrier, some carriers state 1-3 teeth use 21248 partial 4 or more use 21...
posted May 31, 2012 7:13 pm in reply to What is the correct CPT code for dental implant, endosteal? (D6010)I keep coming to the code of 21248-partial or 21249-complete. I was assuming to use the 21248 since NOS. Is the correct? If not, please help! Thank you!
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170...
posted May 31, 2012 7:11 pm in reply to What is correct CPT code for deep sedation/general anesthesia?I keep coming to the code of 00170, is this correct? If not, please help!
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30580...
posted May 31, 2012 7:06 pm in reply to What is the correct CPT code for oroantral fistula closure??I keep coming to 30600. But also, have looked at 30580. Any help in the right direction would be greatly appreciated.
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