Ask the Coder (541)

If the provider is not part of your practice/facility this is a billable charge, and would be done so using CDT code D9999. This code would also be appropriate as a non-billable code for a provider in the same practice/facility.

D7321 Alveoloplasty not in conjunction with extractions, and D7285 incisional biopsy of oral tissue are considered separate procedures. As long as the documentation supports these codes (i.e. there is in fact an osseous lesion in the area of the Alveoloplasty) it would be appropriate to bill these codes out in the same visit. This would (more)

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You would use CPT code 41899 for all 32 teeth and send in a brief narrative of the different extractions and difference in pricing. You should note most medical carriers will not cover extractions unless they are full impaction, you should check your carrier guidelines before claim submission. ICD-9-CM codes based on what was provided (more)

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.

Rule of thumb is to use the primary carriers fees to set the adjustment level.

You may code 00170 for the sedation and still use D9230 for the nitrous oxide to the medical carrier for reimbursement.

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.

Without specific information the most common code usage for an endosteal implant would be dental code is D6010 or CPT Medical code 21248