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Lee W June 29, 2022 1:53 pm
The doctor used D9911 and my insurance Cigna doesn't cover, I've to pay $1000. I was even not aware that insurance doesn't cover it. I'm wondering if the doctor can use D9910 instead which is covered by insurance.
asked 12 years ago by
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Admin May 26, 2010 8:24 am
You may use either D0120 or D0180, you will need to check with your carrier for specific guidelines.
asked 16 years ago by
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asw0929 May 4, 2022 8:18 am
Since they are a requirement by some insurance companies on the CMS-1500 form I would say that it is also a good idea to enter them on the UB-04 form, but I cannot find documentation that states that it's a requirement. You might want to check with the insurance carrier to be sure.
asked 3 years ago by
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General dentist coded D0140 for tooth pain. Recommended RCT and got RCT at endodontist through referral. Endodontist coded D0140 again. Went back to general dentist for filling of crown. Got billed with D0140 again. Does this look correct to keep bil...
Admin December 22, 2022 8:04 pm
The D0140 should only have been sent by the GP, If it was certain the patient needed to RCT. The endo coding for it is not neccassary unless they had to diagnosis if the patient really needed a RCT. But the GP sending the D0140 again at the crown appointment is absolutely unnecessary. Most insurances (more)
asked 2 years ago by
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Admin February 12, 2011 9:07 am
The most appropriate CPT code is the unlisted code 21089, this code requires a narriative to accompany the claim.
asked 15 years ago by
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asw0929 May 18, 2022 11:37 am
Unfortunately, I can't exactly explain why a payor would request a tooth surface, but it may be a requirement of the plan for the code. This is probably given to be sure that duplicates are not billed. Also, they are typically subject to a 5–10-year limitation. There can be quite a few limitations to these (more)
asked 4 years ago by
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I have to submit to submit a section of bridge to Medical. Is there a CPT code?
Admin November 2, 2021 9:10 am
Hi, Which are you submitting? The missing tooth or the crowns?
asked 4 years ago by
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PT CAME IN THIS MORNING HAD TOOTH #8 EXTRACTED WITH D9222 AND D9223 PT RETURNED THIS AFTERNOON AND HAD TOOTH #9 EXTRACTED WITH D9222 AND D9223 CAN I SUBMIT 2 SEPARATE CLAIMS TO INSURANCE WITH EACH HAVING D9222 LISTED?
asw0929 May 16, 2022 7:38 pm
It is very likely that the insurance is going to deny the second D9222 and D9223. I would submit medical records indicating the need for general anesthesia the second time (twice in a day). This is a rare occurrence, and it's likely that it will be denied as you already had the patient sedated once (more)

asked 3 years ago by
Anonymous
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What would the code be for toothbrush deplaquing
asw0929 May 15, 2022 8:05 pm
There is not a separate code for toothbrush deplaquing. This service would be included in the prophy code, either D1110 (adult) or D1120 (child).
asked 3 years ago by