I am trying to bill Medical for decalcification of teeth # 7,8,10,18 – Dr. wrote it has soft enamel gave them surface of DFL – but the teeth show no cavity just soft enamel . I’m trying to get this paid because the child is 16yrs of age and no financial support. how can I bill this ???
Medical carriers do not cover any type of composite fillings unless it is due to trauma or an accident. You can try to use CPT code 41899 and send a brief narrative with your claim.