Answers
Question
Can you enter two separate restoration codes on the same day for the same tooth or is it correct to bill as a two surface restoration even though the restorations are not touching. For instance tooth #30 has occlusal but also separate buccal.
asw0929 August 18, 2022 6:57 pm
If the fillings touch then it’s one two surface filling. If they don’t touch/aren’t connected then it’s two one surface fillings. Insurance will typically downgrade it and pay based on a two surface, but you have to always bill what you do.
asked 3 years ago by
Today we began treatment on a patient to replace PFM crown with new one. After the old crown and decay was removed (75mins into the appointment) it became clear that the tooth was non restorable and was referred for extraction. What code can we bill ...
Sandra January 27, 2025 11:51 am
Today we began treatment on a patient to replace PFM crown with new one. After the old crown and decay was removed (75mins into the appointment) it became clear that the tooth was non restorable and was referred for extraction. What code can we bill for the time spent in the chair? what code to (more)
asked 2 years ago by
Admin September 16, 2010 7:27 am
The only CPT code available at this time is the unlisted code 41899, you should utilize this code along with ICD-9-CM code 520.1 for (Supernumerary teeth).
asked 16 years ago by
Should we bill 20240 superficial or 20245 deep for biopsy . I feel the codes our providers are selecting is incorrect they are picking 20245 (deep)
asw0929 May 18, 2022 7:18 pm
More specifically where is your biopsy? Most likely, if you are coding dental, you are going to use 20240 (superficial), but I would hate to say without hearing specifically where this biopsy is taking place. 20240: The physician performs an open biopsy on bone to confirm a suspected growth, disease, or infection. With the patient (more)
asked 3 years ago by
For example, there is the impression, the wax up, the try ins (and all of the times it takes to get this right with the lab). By the end of the process, being in network with their insurance causes us to lose out on money when we simply bill out the ...
Oanh Phan September 13, 2022 2:43 pm
To my knowledge, there is no way to bill for the lab ( steps involved until denture is complete ) to the insurance. if patient does not show up to pick complete the process, you can bill with a narrative to get some payment ( reimburse for your time and lab fee). I know my (more)
asked 3 years ago by
If you do a DO filling and a B filling on the same tooth and the DO does not touch the B can you bill for 2 seperate fillings the same day?
Admin December 22, 2022 8:08 pm
Yes but in many cases the insurance will downgrade it to a D2393 and pay it as that code. I've recently dealt with this with a patient with Guardian insurance.
asked 2 years ago by
How to claim delta dental x ray? I just claimed New exam 0150 and FMX, they denied for FMX service.
LiftRCM October 9, 2022 11:51 am
Segment your X-rays based on those taken in the series. It is important o understand the CARC or RARC on the RA. Unfortunately, some benefit plans consider an FMX the came and a Pano, although they are for different purposes.
asked 2 years ago by
Anonymous
Admin April 3, 2014 3:15 pm
It all depends on the carrier. Most carriers will have you bill out the D0145 code until the child is over 3 years of age. However, some want you to bill the initial as D0145 and then the subsequent visits as D0120. You need to check with your utilization review guidelines for your state.
asked 12 years ago by
Admin January 6, 2017 1:59 pm
D9940 is an occlusal guard this procedure will require a brief narrative to prove medical necessity. It is a removable dental appliance and is designed to minimize the effects of bruxism and other occlusal factors. D7880 is an orthotic device which also requires a brief narrative to prove medical necessity, however this device is used (more)
asked 9 years ago by
Admin March 17, 2011 4:32 pm
asked 15 years ago by
