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    I am trying to bill Medical for decalcification of teeth # 7,8,10,18 - Dr. wrote it has soft enamel gave them surface of DFL - but the teeth show no cavity just soft enamel . I'm trying to get this paid because the child is 16yrs of age and no financial support. how can I bill this ???
    Admin June 10, 2014 3:43 pm
    Medical carriers do not cover any type of composite fillings unless it is due to trauma or an accident. You can try to use CPT code 41899 and send a brief narrative with your claim.
    Admin
    asked 11 years ago by
    ADCA Admin
    1
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    What code can I use for billing decalcified teeth
    Admin June 10, 2014 2:42 pm
    ICD-9-CM code 521.89
    Admin
    asked 11 years ago by
    ADCA Admin
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    We are a multi-provider office and there are occasions that one of our dentists refers to another dentist within our practice. Many times an inter-office referral is able to be determined by looking at the X-Ray and the patient's dental record and then the patient is scheduled accordingly. Sometimes however, the dentist that will be taking on the proposed treatment will need to see the patient to clinically evaluate the area before the treatment is scheduled. What code could the dentist use to evaluate proposed treatment to determine if they are able to perform the treatment in question?
    Admin June 5, 2014 11:35 am
    The most appropriate code for the second provider would be D0160
    Admin
    asked 11 years ago by
    ADCA Admin
    1
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    0
    My dentist does quite a few precision fit partial dentures( crowning adjacent teeth with precision attachments that will lock into the attachments on the partial denture). Obviously the lab charges quite a bit more than fabricating a traditional partial, what code do you suggest we use for this type of service?
    Admin June 5, 2014 6:04 am
    The most appropriate code for the precision attachments would be D5862
    Admin
    asked 11 years ago by
    ADCA Admin
    1
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    0
    Does my dentist needs to have a special ID to bill medical insurance
    Admin June 3, 2014 3:26 pm
    No any provider may bill medical, however, if they are not contracted with the carrier the claims will be processed as "out-of-network".
    Admin
    asked 11 years ago by
    ADCA Admin
    1
    answer
    0
    is osseous surgery paid by medical insurance? If so can you please let me know the code
    Admin June 3, 2014 10:36 am
    Some medical carriers will reimburse for osseous surgery...the correct CPT code to use for this procedure is 41899 as there is no specific code assigned to this procedure. You should note some carriers will ask for the "D" code when submitting for this procedure. You should check your individual carrier guidelines prior to claim submission
    Admin
    asked 11 years ago by
    ADCA Admin
    1
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    0
    Patient has loss of tooth due to periapical abscess. The abscess was so bad it caused bone loss at the site. How do I code bone loss?
    Admin May 31, 2014 10:24 am
    The correct ICD-9-CM code is 525.19
    Admin
    asked 11 years ago by
    ADCA Admin
    1
    answer
    0
    I submitted my CEUs for this year in December I thought it was due for the renewal in December not August. Do I have to do more classes? Thanks
    Admin May 30, 2014 7:49 am
    12 CEU's are due at the end of each year regardless of when your membership fee's/renewal is due.
    Admin
    asked 11 years ago by
    ADCA Admin
    1
    answer
    0
    I am looking for a diagnosis code for file tip broken off in tooth from root canal. The oral surgeon is going to preform apico with retrograde filling.
    Admin May 30, 2014 6:25 am
    Primary DX 935.0, secondary DX E915
    Admin
    asked 11 years ago by
    ADCA Admin
    1
    answer
    0
    Is there an equivalent CPT code for D1110 and D2331?
    Admin May 29, 2014 9:36 am
    There is not an equivalent CPT code for D1110 or D2331 as cleanings and routine fillings are not covered under medical unless it is due to an accident. You would use the "D" code to bill medical if this were the case.
    Admin
    asked 11 years ago by
    ADCA Admin
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