Ask the Coder (423)

Since consult codes are no longer recognized or paid by insurance carriers, depending what the DDS saw the patient for and what part of the hospital the patient was seen you would use the following code set series. ER 99281-99285 In-Patient Hospital 99221-99223

It would depend on what other service you are billing D4211 with and what the carriers Utilization Review for the code states. You would need to be more specific on what you are billing D4211 with in order to receive an appropriate answer.

Most carriers would consider 7 or more contiguous teeth to be considered major surgery...yes you would use 41899 as the correct CPT code. This procedure usually has a global period of 30 days however, some carriers state the global period is 14 days. You will need to check your carriers utilization review to find out (more)

While "desensitizing appointments" are a common occurance in Pediartic offices this is usually done at the doctors expense. There is no specific dental code for this type of appointment and most carriers will not pay for this type of visit. You may try to bill with CDT code D9999 and send a supportive narrative giving (more)

The correct ICD-9-CM code for Cerebral Palsy is 343.9

What if it's a bulk payment with other patients, can it be scanned?

If a patient (child) has dual insurace meaning they have two dental plans the primary insurance will depend on several factors. 1. Who's birthday falls first mother or father 2. Who's plan has been in effect the longest 3. Is there a court order determining custody and insurance In order to find the answer you (more)

If billing medical for the extractions you will use 41899 and list it however many extractions were performed. In box 19 of the CMS-1500 form you will put D7140 teeth involved and list the teeth numbers. You will need to check with your carrier for specific guidelines on extractions and what is and is not (more)

The ICD-9-CM code for cerebral palsy is 343.9 You must be more specific on the type of mental/developmental issues in order for a code to be given.

Usually the post operative treatment will be considered inclusive in the primary procedure and therefore not billable. However, if the carrier allows a fee for the post-operative visit you may use D0140 limited oral evaluation.