Ask the Coder (552)

For anterior buccal class V, you would use D2331. For posterior, it is D2391.

Do pre-estamite first

The ruling from CMS is any provider whose scope of practice permits may assign a diagnosis code, (DDS, DMD, MD, Resident) it does not specifically state as to Hygiene. The common consensus is a hygienist may assign a diagnosis code however, it must be approved/reviewed by the attending/supervising provider.

The answer is No. If the patient's insurance doesn't cover a pano, then charge it to the patient. If you were going to get $70 from ins., charge $70 to patient. That way you get your pano paid and patient doesn't rejects treatment because you change $300 for a pano image.

D9938 Fabrication of a custom removable clear plastic temporary aesthetic appliance

What if it's a bulk payment with other patients, can it be scanned?

Hi! It depends on the insurance's rules. Typically, the rule of thumb is that the total sum of the X-rays cannot exceed the cost of the FMX in the insurance's contracted rate. Example: If an FMX is $90 total and the patient is eligible for an FMX, if you billed 4 BWX and 4 PA's (more)

Is there a cpt cross code for D6114 does anyone know. Implant abutment supported fixed denture for endentulous arches?

Hi Michelle!! the 2026 CDT code book just became available for pre-order yesterday, and they have not sent out the 2026 addition or released the changed codes at this time. I will update this post once they have released the codes and the 2026 book has been received :)

For an all on 4 here are common procedures: -D6010: Surgical placement of implant body (endosteal) -D6114: Implant/ abutment supported fixed denture maxillary -D6115: Implant/ abutment supported fixed denture mandibular -D6118: Interim fixed denture mandibular -D6119: Interim fixed denture maxillary -D6180: Implant maintenance (cleaning of prosthesis and abutments) The provider needs to diagnose and treatment (more)