Ask the Coder (544)

They are looking for qualifying circumstance modifier found in the CPT coding manual... This anesthesia guideline set forth by UHC and CMS may assist you on selecting the appropriate modifier for your claim. http://www.uhccommunityplan.com/content/dam/communityplan/healthcareprofessionals/reimbursementpolicies/Anesthesia-Policy-(R0032).pdf

Without more information the most appropriate code would be 41899 and include a brief narrative.

D9220 - 00170 D7953 - 20900 D0340 - 70350 D7230, D7240, D7250 - 41899

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)

The book and the exam instructions come instantly in an email after purchase...if you did not receive this information please check your spam folder. The email comes from Word Press...if it is not there please contact an ADCA representative at 800.300.0239

Practice exams are located in your members area, all you need to do is click on the link and register yourself to take the practice exams.

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.