Ask the Coder (164)

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).

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)

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)

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.

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.

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.

D5640

I found this on the webpage: https://www.dentalclaimsupport.com/blog/examining-cdt-code-d2940-do-you-place-protective-restorations-at-the-emergency-appointment#:~:text=The%20nomenclature%20defines%20D2940%20as%20a%20protective%20restoration.,outside%20the%20mouth%20then%20placed%20on%20the%20tooth This type of restoration is accurately documented and reported to the payer using code D2940 which was revised a few years ago. The previous code nomenclature defined this code as a sedative filling. The current code language includes a revised nomenclature and a descriptor. D2940 protective restoration Direct (more)

To the adcaonline.org owner, Your posts are always well-received and appreciated.

The best narrative to submit is the one the provider wrote in the chart as to why the patient needed nitrous oxide CDT code D9230. If nitrous was used in behavior management it should be accompanied with code D9920, below is an explanation of when behavioral management should be used. D9920 is to be used (more)