Ask the Coder (559)

Hi! It depends on the insurance's rules. Typically, the rule of thumb is that the total sum of the X-rays cannot exceed the cost of the FMX in the insurance's contracted rate. Example: If an FMX is $90 total and the patient is eligible for an FMX, if you billed 4 BWX and 4 PA's (more)

For an all on 4 here are common procedures: -D6010: Surgical placement of implant body (endosteal) -D6114: Implant/ abutment supported fixed denture maxillary -D6115: Implant/ abutment supported fixed denture mandibular -D6118: Interim fixed denture mandibular -D6119: Interim fixed denture maxillary -D6180: Implant maintenance (cleaning of prosthesis and abutments) The provider needs to diagnose and treatment (more)

Hi Michelle!! the 2026 CDT code book just became available for pre-order yesterday, and they have not sent out the 2026 addition or released the changed codes at this time. I will update this post once they have released the codes and the 2026 book has been received :)

Is there a cpt cross code for D6114 does anyone know. Implant abutment supported fixed denture for endentulous arches?

You are able to bill CDT codes to medical insurance for cleft palate treatment, but CDT codes are not typically the preferred codes for billing medical insurance, especially for surgical procedures. CDT codes may be used for orthodontic treatment, prosthodontic appliances (like palatal obturators, etc), and adjunctive dental services like x-rays and evaluations, but for (more)

Yes, after taking the Certified Dental Billing Specialist online class you should be able to clear the exam with no problems.

Yes please contact support@adcaonline.org for help

Hi! What extraction code are you billing with the D7285? Sometimes, Delta will bundle D7285 with D7250 and D7210. This denial could potentially be appealed with a detailed narrative written by the provider explaining why the biopsy is necessary and asking that Delta review D7285 under CDT guidelines, because the CDT defines D7285 as a (more)