Ask the Coder (540)

Hi! What extraction code are you billing with the D7285? Sometimes, Delta will bundle D7285 with D7250 and D7210. This denial could potentially be appealed with a detailed narrative written by the provider explaining why the biopsy is necessary and asking that Delta review D7285 under CDT guidelines, because the CDT defines D7285 as a (more)

Hi! This is usually up to the provider/ office manager for the pt payment. Will any insurance be billed? If so, the insurance could possibly deduct what they paid toward the D2799 from what they would pay for the D2740 if the pt has coverage for those services.

Hi! There is not particular dedicated CDT code for all laser therapy in dentistry. Laser procedures are typically billed under existing CDT codes that describe the specific procedure performed, regardless of whether a laser was used. Example: laser-assisted perio therapy can be billed under D4240, D4241, D4260, or D4261, depending on the specific tx. Some (more)

Hello! D9222 and D9223 are billed specifically in 15 minute increments, so if it is under 30 minutes, it is not recommended to bill for both D9222 and D9223 (total of 30 minutes) if only 20 minutes of sedation were performed.

Hello! Since you were referred to the specialist by another provider, and not seen by the original referring dentist, the code D9310 (Consultation- Diagnostic service provided by dentist or physician other than requesting dentist or physician) was appropriately applied. Alternatively, D0160 ( Detailed and extensive oral evaluation, problem-focused, by report) could also be used, as (more)

The CDBS class and exam does not require any extra material or books. The CDC course and exam requires 1 book: CDT 2025: Current Dental Terminology - Available on Amazon.

Hi! This varies per insurance company. I do have a few questions in order to be able to answer a bit more in detail: On the date that you called for benefits on the D2954, was the question specifically asked if the crown would be covered if done on a separate DOS than the D2954 (more)

Hi! I would recommend sending a pre and post-operative x-ray of the tooth, the clinical notes showing the Doctor's diagnosis, and a narrative from the provider stating why they determined that the best care for the patient was a D2954.

Depending how old the child is the bitewing could also be D0272

Hello! This is a great question. For D4910, each insurance plan is different. If the patient has coverage for D4910, typically, the insurance will want the date of the initial scaling and root planing along with x-rays and perio charting less than 12 months old. When it comes to the perio maintenance frequency, that also (more)