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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.

All diagnosis made for the patient should be noted in the chart, the ICD-9-CM codes do not need to be billed on the ADA2006 claim form.

ICD-9-CM: 523.40 Chronic periodontitis, unspecified The code for generalized marginal pappillary severe gingivitis would depend on if the gingivitis was Acute or Chronic and if it was plaque induced or non-plaque induced your options would range from 523.00 to 523.11/ in order to give the correct code this needs to be more specific. Bone grafts (more)

This is really at the carriers discretion, the way the code reads D1110 is for removal of plaque, calculus and stains from the tooth structures in the permanent and transitional dentition. It is intended to control local irritational factors. An ultrasonic cleaning will by defination do the same as a prophylaxis, however, it is not (more)

Simple extractions D7140 are usually not covered by the medical carrier uless it is due to trauma, injury, or there are more than 7 consecutive teeth in a row. If this is the case you would use CPT code 41899 and send a short narrative along with the claim explaining the circumstances.

CPT codes are only used when submitting claims to medical carriers on CMS 1500 forms, you do not use CPT codes for dental claims submitted to dental carriers on ADA2006 forms.