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    We use code D5865 for a complete mandibular overdenture, but it only pays about $1000. Our cost is about $4000. Is there a different code we are supposed to use or is there an additional code that I should use?
    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
    Admin
    asked 11 years ago by
    ADCA Admin
    1
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    0
    Please advise coding on the following: Pt. presents with pain, swelling around #3--took 2 PAs and measured pocket depths in area--sulcus of #3 gushed pus and blood when probed--doctor treated as perio abscess by doing gross debridement to let it drain through the sulcus, irrigated with Chlorhexidine and prescribed antibiotics.
    Admin March 5, 2015 10:28 am
    The most appropriate codes for your scenario are as follows: D0220, D0230, D4921
    Admin
    asked 11 years ago by
    ADCA Admin
    1
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    0
    How would you code for the following: an 8-year-old presents with lacerated lip--IM injection of Ketamine for sedation--debridement of the wound with 2 sutures placed
    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
    Admin
    asked 11 years ago by
    ADCA Admin
    1
    answer
    0
    How do I code for a super-erupted tooth #15?
    Admin March 4, 2015 10:22 am
    ICD-9-CM code 520.8
    Admin
    asked 11 years ago by
    ADCA Admin
    1
    answer
    0
    How do you code for the cast metal parts of a Maryland bridge that are bonded to the lingual of the adjacent teeth?
    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
    Admin
    asked 11 years ago by
    ADCA Admin
    1
    answer
    0
    Need code for an abutment-supported connecting bar with Hader and ERA attachments, please.
    Admin March 4, 2015 10:18 am
    Without specific information (custom or prefab, made in office or outside lab) the most appropriate codes are D6055 and D6056-D6057
    Admin
    asked 11 years ago by
    ADCA Admin
    1
    answer
    0
    I am trying to correctly code the following--have made many attempts, but none are apparently correct--how would you code for an initial capture, including coronal and sagittal views, along with a pano on the same day. The dentist consulted with an orthodontist prior to creating the 3-D image, and then they consulted together after the 3-D was constructed.
    Admin March 4, 2015 10:17 am
    D0351 and D0330 would be the most appropriate codes for your procedure.
    Admin
    asked 11 years ago by
    ADCA Admin
    1
    answer
    0
    Is it possible to get a Gingivectomy paid for non perio reasons? My doctor performs them often to reach decay under the gum line. Thanks for any input!!!
    Admin February 28, 2015 6:41 am
    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.
    Admin
    asked 11 years ago by
    ADCA Admin
    1
    answer
    0
    How do you bill for inhalation of nitrous oxide (D9230) medical?
    Admin February 26, 2015 12:28 pm
    Nitrous oxide is billed using the same "D" code as it is considered a HCPCS code in Medicine.
    Admin
    asked 11 years ago by
    ADCA Admin
    1
    answer
    0
    It has been observed that almost all the dental insurance carriers are denying the charge for the code D9230 - Analgesia, Nitrous Oxide. What is the reason for the denial? Also, what is the alternate code that we can use to charge for this?
    Admin February 25, 2015 11:37 pm
    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.
    Admin
    asked 11 years ago by
    ADCA Admin
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