Admin – Answers

June 25, 2026 by Admin

Votes	Status	Answer
0 votes	approved	This would not be appropriate as a D0180 covers similiar aspects as a D0150. Having both of these ex... posted February 9, 2012 12:09 pm in reply to If you have a new patient that presents to your office and sees the hygienist first and they show signs of periodontal disease and you perform D0180, D0330,and D1110 at the first visit and have the patient come back to see the doctor at the next visit within the next couple of weeks can the doctor then charge D0150 even though the D0180 was just charged.
0 votes	approved	Your CDT or HCPCS code range would be D5931-D5932 or D5936. D5931 Obturator prosthesis, surgical ( ... posted February 7, 2012 8:50 pm in reply to What HCPCS code would you bill for a Nasal Alveolar Molding Device or obturator? The DDS is billing the medical procedure as cpt 21080 and ICD-9 749.21. Any help would be greatly appreciated.
0 votes	approved	Yes, you are correct. This answer was for an office that has a lab in house.If you are sending th... posted January 26, 2012 3:41 am in reply to I noticed that you have suggested coding appliances (sleep apnea, etc.) using 21089 for the appliance and 99002 for the handling. Per the CPT- 21089 should only be used when the physician actually designs and prepares the prosthesis (no outside lab)while 99002 is used for the handling, fitting & adjustment of an appliance fabricated by an outside lab (submitted with lab fee box 20). These codes are mutually exclusive. Please explain. Thanks!
1 vote	approved	There are two different methods for external bleaching, the first is to have the dentist take impres... posted January 12, 2012 9:24 am in reply to What is the difference between external and internal bleaching per tooth? (D9973-D9974)Also, is there any difference in code between in-office bleaching and take-home tray bleaching? Thank you.
2 votes	approved	Size does not matter it is the picture being taken that matters. ... posted January 4, 2012 1:34 pm in reply to When doing the following: D0220, D0230, D0240 does the size of the film matter if the required x-ray is being done? example- D0220 on a larger size film.
0 votes	approved	This code is carrier driven meaning it is at the carriers discreation as to how they are going to pa... posted January 3, 2012 7:28 pm in reply to When charging for Biologic Materials, is it done per tooth, quadrant, or site?
0 votes	approved	You may only code those teeth that are diseased and involved. From your description above it appears... posted January 3, 2012 7:20 pm in reply to Can I code for a 4 or more teeth for periodontal osseous surgery if the actual teeth with pockets are only 3 but extends between 4 or more teeth? For example teeth with 5 mm pockets are #'s 17, 18, 24. Would this be considered 4 or more teeth since the surgeon would need to access over 4 teeth to effectively perform the surgery?
1 vote	approved	D4211... posted December 20, 2011 9:45 am in reply to 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.
0 votes	approved	No, you must adhere to the contractual obligation set forth by the insurance carrier.... posted December 17, 2011 1:28 pm in reply to If a patient wants a crown fabricated at a lab that is more expensive than the lab usually used for a better cosmetic outcome- can I balance bill the patient for the amount that is not covered by her dental insurance?
0 votes	approved	You need to find out a few details first. If the patient is the subscriber of both plans; the plan ... posted December 15, 2011 1:05 pm in reply to What can be done when two insurances are claiming to be secondary? I have called numerous times to both insurance companies and neither wants to budge, I have had the subscriber call and is getting the same result. Any suggestion welcome

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