Ask the Coder (539)

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

Spacers are not billable procedures they are considered inclusive of another procedure. Usually space maintainers or orthodontia services.

By spacer band we are assuming you are referring to a space maintainer? Is that correct? If so you would use CDT codes D1510-D1525; Depending on if the space maintainer is fixed or removable.

The most accurate code would be CDT D7998