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On the CMS-1500 section 24-E (Diagnosis Code) do these codes come from the ICD-9-CM book?Thank you :)
Admin January 1, 1970 12:00 am
Admin
asked 12 years ago by
ADCA Admin
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I recently posted a question regarding a medical claim and this was part of the response: "For the D9248 you will need to list the drugs used and their appropriate HCPCS code." What are HCPCS? And where do I find more information on the correct HCPCS codes for D9248 (non IV Sedation)? Thank you for your time and response.
Admin January 1, 1970 12:00 am
HCPCS stands for Healthcare Common Procedural Coding System and is published by the American Medical Association (AMA). This book lists drug codes, durable medical equipment codes, outpatient services, and more. You may purchase the book from any company that sells coding manuals. If you would like the specific HCPCS codes please list what drugs you (more)
Admin
asked 12 years ago by
ADCA Admin
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If a person's dental and medical plan are by the same carrier and dental paid a certain amount toward three D7111's but would not cover the sedation (non-IV) portion D9248 how would I submit this as a medical claim? Which CPT codes are equivalent and can this even be done after dental already paid a portion. Do I only include the code that was not a covered benefit? Thank you
Admin September 10, 2013 1:11 pm
You will need to submit the claim to medical on a CMS-1500 form and attach a copy of the dental EOB to the claim. You will use CPT code 41899 in place of the D7111. For the D9248 you will need to list the drugs used and their appropriate HCPCS code.
Admin
asked 12 years ago by
ADCA Admin
1
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112
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Please let me know the CPT codes for the following and how I would go about finding the codes in the CPT book:limited oral evaluation established patient D0140 dental implant transosteal D6050 oroantral fistula closure D7260Thank you,Sharon Carrillo
Admin September 8, 2013 5:05 pm
Depending on the documentation provided and if the patient is new or established within the practice the correct CPT code(s) for D0140 would be 99201-99202 for a new patient or 99212-99213 for an established patient. You will find these codes by going to your index and looking up the main term Evaluation and Management, from (more)
Admin
asked 12 years ago by
ADCA Admin
1
answer
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How do I reset password for CDC Practice Exams? I am currently locked out.
Admin September 4, 2013 1:48 pm
You will need to request the password to be re-set by technical support...e-mail support@adcaonline.org with your First and Last name and e-mail address used for the exam engine.
Admin
asked 12 years ago by
ADCA Admin
1
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54
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Please let me know what the CPT codes are for extraction partial impaction and extraction of full bony impaction.Thank you,Sharon Carrillo
Admin September 3, 2013 4:24 pm
41899 for both, you will clarify between the two in box 19 with a breif explanation (i.e. teeth involved #1 D7230 and #16 D7240)
Admin
asked 12 years ago by
ADCA Admin
1
answer
208
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Dental insurance denied benefits for non-IV sedation code D9248 used for the extraction of coronal remnants for 3 primary teeth code D7111. I am being told to bill the medical insurance? Is this ok to do? I remember a previous question I asked on this site and was told to submit a claim to medical if 7 or more extractions are being performed. Thank you for any explanation of what to do in this situation. Our office frequently uses code D9248 and it is almost never a covered dental benefit. Does that mean I should be submitting it to the person's medical insurance?
Admin August 9, 2013 11:52 am
If the dental carrier is requesting you to bill medical first then you are to bill medical first.
Admin
asked 12 years ago by
ADCA Admin
1
answer
178
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I billed out code D1550 (recement space maintainer) and the claim was rejected for needing a tooth number. Would the tooth number associated with this code be the tooth it is replacing? Ex: The space maintainer is connected to tooth A & C but filling the gap of missing tooth B on a child. Thank you
Admin August 8, 2013 9:59 am
The tooth number in this case would be tooth "B"
Admin
asked 12 years ago by
ADCA Admin
1
answer
48
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We recently got an oral surgeon in our dental practice. Some insurance require that you bill the medical carrier first. The codes that I am dealing with are D9220 (General Anes/30 minutes), D9221 (General Anes/Add 15 min), D7230 (Rem imp tooth - part bony) x 2 teeth , D7240 (Rem imp tooth comp bony) x 2 teeth. What codes do I need to submit on the CMS-1500 form that I am to send to the medical carrier? Thank you.
Admin August 2, 2013 7:06 pm
CPT code 00170 will replace D9220 and D9221...it is billed out in units (15 minutes = 1 unit). CPT code 41899 will replace D7230 and D7240...in box 19 of the CMS 1500 form you will put the following (Teeth involved D7230 #1 & 16 D7240 #17 & 32 or whatever tooth number they are...)
Admin
asked 12 years ago by
ADCA Admin
1
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80
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I posted a question a while back, but I can't find where it was answered. Do we usually get notified in an e-mail? Here is the question: If a child has tooth E extracted (D7140) and a supernumerary tooth is found and extracted as well (this is given the title SE (supernumerary tooth E) how do I code out for the supernumerary tooth? It was a "REMOVAL OF IMPACTED TOOTH-COMPLETELY BONY D7240, but is this the correct code for a supernumerary tooth? Thank you.
Admin August 1, 2013 12:50 pm
All answered questions are delivered via e-mail and stored in the FAQ database... The supernumerary tooth is coded using D7240 and noted in the remarks area of the claim form as a supernumerary tooth. You will further add an S to the tooth number area.
Admin
asked 12 years ago by
ADCA Admin
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