Admin – Answers

April 29, 2026 by Admin

Votes	Status	Answer
-1 votes	approved	The rules to billing medical carriers are defined within your contracts and vary from carrier to car... posted November 20, 2010 7:10 pm in reply to What are the rules to billing medical carriers and how do you determine diagnosis codes required?
3 votes	approved	The appropriate code for the extractions would be 41899 with the use of modifiers, so your claim wou... posted November 20, 2010 8:19 am in reply to A patient's dental insurance was billed for 3rd molars and sedation. Insurance charged and paid as follows: D7230 x4 $350; D9241 $300; D9742 $75 for a total of $1775. Dental insurance subtracted the $50 deductible and then paid @ 50% or $862.5 leaving the patient with a balance of $912.50. MY QUESTION THEN is WHAT codes do we use to charge his medical insurance?Also, should we have charged medical insurance first?THANK YOU!
1 vote	approved	Since this is a problem focused exam and only a follow-up the appropriate code would be D0140. If t... posted November 18, 2010 2:55 pm in reply to What Dental Code would you use for a follow-up visit for a patient that wears a sleep apnea appliance?
1 vote	approved	The difference is quite simple CDT code D1203 Topical Fluroide is used for children who are not at a... posted November 17, 2010 12:17 pm in reply to I have a questions on code D1203 Topical Fluriode- child vs code D1206 - Topical Fluriode Varnish. Could you please tell me what is the difference between this two? Thank you Paula
1 vote	approved	The only CPT code available at this time is the unlisted code 41899, you should utilize this code al... posted September 16, 2010 7:27 am in reply to Any Crosswalk codes known for Extraction of a Supernumerary tooth (used D7240-SN)to a CPT code? Thank you Brenda
-1 votes	approved	D7951 is used for augmentation of the sinus cavity to increase alveolar height for reconstruction of... posted August 17, 2010 6:55 pm in reply to When would you expect to see the D7951--sinus augmentation with bone or bonesubstitues code used?The procedure in question is: Placement of implant at site #3 with possibleindirect or direct sinus lifting.The Oral Surgeon documents that an "indirect sinus lift" was performed. Thank you. Brenda
0 votes	approved	I have not reviewed the book personally, however, PMIC is a great company. I do know that they have... posted July 22, 2010 11:16 am in reply to I noticed one of the publications mentioned on the ADCA website is Oral Maxillofacial coding/billing book published by PMIC. I wondered if you have any experience with this book and if this is beneficial for the dental coder in Oral Maxillofacial surgery?Thank you!Lynette Kardell, CPC,CDC
0 votes	approved	According to the ADA D0470 diagnostic casts are billable anytime diagnostic aides are needed or requ... posted July 15, 2010 8:03 am in reply to Is there documentation to support when it is appropriate to bill D0470, Diagnostic Casts? I have a provider that seems to think that he can bill this code when taking impressions and bite registration for a sleep apnea appliance. I would like to have something in writing to support the explanation of this code. Thank you.
0 votes	approved	D7950... posted July 7, 2010 9:50 am in reply to What is the dental code for medical code 20902?
0 votes	approved	Dental code D7950 Medical code 20902... posted June 30, 2010 10:33 am in reply to If 20900 is the code for bone graft, any area, minor or small, what is the cpt and d codes for major grafting?

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