Ask the Coder (532)

Usually dental carriers will only allow flouride varnish to be paid to a dentist. However, we have seen some instances where a medical provider was paid for it during a preventative visit. It is up to carrier discretion, you should always check with the specific carrier prior to work.

There is no medical code for D1206 (topical application of fluoride varnish) or D1208 (topical application of fluoride) as this is not a covered medical expense. Depending on the documentation provided an appropriate crosscode for D0145 (exam child under 3 years) would be 99201-99202 for new patient and 99212-99213 for estabilished patient.

You may purchase a book through the National Dental Advisory Service called Comprehensive Fee Report. There website is www.ndas.com

You will charge out for a new crown and provide a narrative with the claim explaining the circumstances. They will usually pay 50% of the original fee.

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)

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.

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)

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.

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)