Ask the Coder (532)

If the dental carrier is requesting you to bill medical first then you are to bill medical first.

The tooth number in this case would be tooth "B"

CPT code 00170 will replace D9220 and D9221...it is billed out in units (15 minutes = 1 unit). CPT code 41899 will replace D7230 and D7240...in box 19 of the CMS 1500 form you will put the following (Teeth involved D7230 #1 & 16 D7240 #17 & 32 or whatever tooth number they are...)

All answered questions are delivered via e-mail and stored in the FAQ database... The supernumerary tooth is coded using D7240 and noted in the remarks area of the claim form as a supernumerary tooth. You will further add an S to the tooth number area.

The correct CPT code is 00170

Without more specific information your best and most accurate code would be D5281

If you are billing to the dental carrier you would use D7240 and note in the remarks area of the CDT form this is a supernumerary tooth. You should also include an x-ray along with the claim.

Question 1: No you may not charge an additional charge for the wax work-up it is considered inclusive of the initial procedure. Question 2: No you may not pass the expense onto the patient. The lab fees may not be charged in addition to the initial procedure.

There is no CPT code for D6056 as medical carriers do not cover the prosthetic portion of a dental implant...you may however try to use 99002 (delivery and handeling).

CPT code 41899 is to be used and listed seperately for each tooth with ICD-9-CM code 520.6. In box 19 you need to put the dental code along with the tooth number...example Teeth involved D7230 #1 & #17, D7240 #16 & #32