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Admin March 28, 2015 3:42 pm
When the dental carrier asks for the "primary carriers explanation of benefits" Here are some of the most commonly sent dental procedures: Frenulectomy, Biopsy, Extraction of Impacted Wisdom Teeth, Alveloplasty, Exostosis removal, Removal Mandibular Tori, and Vestublopasty.
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Admin March 24, 2015 7:30 am
Rule of thumb is to use the primary carriers fees to set the adjustment level.
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Admin March 12, 2015 4:02 am
You may code 00170 for the sedation and still use D9230 for the nitrous oxide to the medical carrier for reimbursement.
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Admin March 12, 2015 3:52 am
Usually there is a slight difference is the amount paid; this is carrier driven so it is best to check the Utilization Review Guidelines for each carrier to determine reimbursement levels.
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Admin March 6, 2015 1:48 pm
Without specific information the most common code usage for an endosteal implant would be dental code is D6010 or CPT Medical code 21248
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Julia March 23, 2023 1:17 pm
The ADA gives instructions on coding for overdenture. It's not only the overdenture but also each precision attachment that you would code for. Hope that helps! https://www.ada.org/-/media/project/ada-organization/ada/ada-org/files/publications/cdt/cdt_overdenturecodingguidance_naturaltoothborneandimplantborneprostheses_2020nov.pdf
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Admin March 5, 2015 10:28 am
The most appropriate codes for your scenario are as follows: D0220, D0230, D4921
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Admin March 4, 2015 10:24 am
Without specifics(how big is the laceration, was a limited exam performed) the following codes are the most appropriate for the scenario listed above. Dental: D9241, D7530, & D7910
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Admin March 4, 2015 10:22 am
ICD-9-CM code 520.8
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Admin March 5, 2015 10:20 am
Without specific information as to whether this was a repair or initial placement the most appropriate codes would be D2980 or D2999
