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> If a young child had extensive restorative dental work completed in > an out-pt OR hospital setting, as well as 8 extractions (D7140), how > do I go about billing medical for the extractions. I was told in a > previously submitted question that CPT code 41899 can be used to bill > medical using the CMS-1500 form if more than 7 extractions were > performed. > > I am a little confused on how to approach the 1500 form. Do I need to > include all of the D-codes charged out for the apt as well? The > extractions are the only ones I can submit to medical insurance under > code 41899 to my understanding. > > Or do I only bill code 41899 eight different times on the CMS-1500 > form and not include the other D-codes? > > Would this process change if the insurance provider is the same for both the medical > and dental benefits? > > Thank you for you time. I really appreciate any clarification I can > get.

February 4, 2013 by Admin

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  • > If a young child had extensive restorative dental work completed in > an out-pt OR hospital setting, as well as 8 extractions (D7140), how > do I go about billing medical for the extractions. I was told in a > previously submitted question that CPT code 41899 can be used to bill > medical using the CMS-1500 form if more than 7 extractions were > performed. > > I am a little confused on how to approach the 1500 form. Do I need to > include all of the D-codes charged out for the apt as well? The > extractions are the only ones I can submit to medical insurance under > code 41899 to my understanding. > > Or do I only bill code 41899 eight different times on the CMS-1500 > form and not include the other D-codes? > > Would this process change if the insurance provider is the same for both the medical > and dental benefits? > > Thank you for you time. I really appreciate any clarification I can > get.

> If a young child had extensive restorative dental work completed in > an out-pt OR hospital setting, as well as 8 extractions (D7140), how > do I go about billing medical for the extractions. I was told in a > previously submitted question that CPT code 41899 can be used to bill > medical using the CMS-1500 form if more than 7 extractions were > performed. > > I am a little confused on how to approach the 1500 form. Do I need to > include all of the D-codes charged out for the apt as well? The > extractions are the only ones I can submit to medical insurance under > code 41899 to my understanding. > > Or do I only bill code 41899 eight different times on the CMS-1500 > form and not include the other D-codes? > > Would this process change if the insurance provider is the same for both the medical > and dental benefits? > > Thank you for you time. I really appreciate any clarification I can > get.

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Asked on February 4, 2013 10:23 am
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If billing medical for the extractions you will use 41899 and list it however many extractions were performed. In box 19 of the CMS-1500 form you will put D7140 teeth involved and list the teeth numbers. You will need to check with your carrier for specific guidelines on extractions and what is and is not covered as every plan is different.

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Answered on February 5, 2013 10:23 am
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