Ask the Coder (537)

Without specific information as to whether this was a repair or initial placement the most appropriate codes would be D2980 or D2999

Without specific information (custom or prefab, made in office or outside lab) the most appropriate codes are D6055 and D6056-D6057

D0351 and D0330 would be the most appropriate codes for your procedure.

Yes it is possible to receive payment for non-periodontal gingivectomies...however you will first need to check with the carriers utilization review processes for specific guidelines. Second you will need to attach a brief narrative as to why the treatment is "medically necessary" make sure to be specific for each patients situation.

Nitrous oxide is billed using the same "D" code as it is considered a HCPCS code in Medicine.

Nitrous Oxide is only covered when "Medical Necessity" is present (i.e. anxious state, down's syndrome, or other mental issue) that requires the use of Nitrous Oxide. Most carriers require medical necessity for payment.

According to some carriers D0180 may be used by a general dentist if the patient is considered a "perio" patient and proof of periodontal disease "medical necessity" is present. Having said that the majority will only pay D0180 when submitted by a periodontist.

This code is general used for root sensitivity and should not be used as a desensitizing agent for bases, liners, or adhesives under restorations. Example: A patient presents with root sensitivity on teeth 24-27 and a desensitizing agent is used on the roots it would be appropriate to bill out D9910

It would be appropriate to bill out separately for the housing assembly... there are 3 codes that would may be used depending on the material D5862, D5867, or D5899. Depending on the documentation provided and the actual service rendered one of the three listed would be appropriate.

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