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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

asked 12 years ago by

ADCA Admin

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I am looking at the ICD-10 diagnosis codes in preparation of the OCtober conversion. For diagnosis K08.10_, it specifies a class. What are those classes and how can I find documentation on them?

Admin June 12, 2015 5:42 am

The AAPC and the BC Advantage are currently running ICD-10 training courses. The ADCA will not have an ICD-10 training course until January 2016.

asked 10 years ago by

ADCA Admin

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When it comes to double coverage, and we submit a claim to the primary insurance first, does this always mean medical coverage? I remember hearing that Primary means medical? How does this come into play in the dental field? We see pt's in our private practice as well as in hospital out-pt OR setting when necessary.Thank you for any clarification.

Admin February 5, 2013 10:27 am

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)

asked 13 years ago by

ADCA Admin

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Where can I find information regarding how we charge out the insurance companies, if we were running a $78.00 special for Comp Exam, FMX, Prophy? I need to find out if I should be writing off the balance on the accounts, IF insurance pays @ least the $78.00. We are in Louisiana - Jefferson Parish.

Admin January 25, 2016 5:12 pm

What you do for one you must do for all...it is best to check with each individual carrier as to your contractual obligation prior to running any kind of specials.

asked 10 years ago by

ADCA Admin

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Hi, I just recently got my log in information and so I'm a bit behind. Can you help me get started… I tried to navigate through the site and I'm not sure what tabs to click for the training modules to access the course work?

Admin July 21, 2016 2:15 pm

Hi Raymond, You are never behind on our on-demand classes. I noticed you are using an aol email this is a Microsoft email and you may not receive login information. Please contact our Director of Education Mindi Rothans 800.300.0239 x105 to update your email and receive login instructions.

asked 9 years ago by

ADCA Admin

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> If a young child had extensive restorative dental work completed in > an out-pt OR hospital setting, as well as 8 extractions (D7140), how > do I go about billing medical for the extractions. I was told in a > previously submitted question that CPT code 41899 can be used to bill > medical using the CMS-1500 form if more than 7 extractions were > performed. > > I am a little confused on how to approach the 1500 form. Do I need to > include all of the D-codes charged out for the apt as well? The > extractions are the only ones I can submit to medical insurance under > code 41899 to my understanding. > > Or do I only bill code 41899 eight different times on the CMS-1500 > form and not include the other D-codes? > > Would this process change if the insurance provider is the same for both the medical > and dental benefits? > > Thank you for you time. I really appreciate any clarification I can > get.

Admin February 5, 2013 10:23 am

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)

asked 13 years ago by

ADCA Admin

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How i could bill primary root tips, D7140?

Admin October 9, 2012 10:56 am

decidious teeth usually do not have what we recognize as root tips, you would still use D7111 for decidious teeth.

asked 13 years ago by

ADCA Admin

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In the state of PA, can a dental hygienist bill for D0180 when a dentist is not present? This is a bit "urgent", so I would appreciate any help or quick response. Thank you.

Admin May 28, 2016 3:03 am

No, this is not within the scope of practice for a dental hygienist. The dentist must be present and review the documentation as well as add to the documentation to make this a valid billable code.

asked 9 years ago by

ADCA Admin

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I'm really kind of new to dental billing and I am not quite sure what to send on a code that is by report. Are there any special rules when billing D7971 -excision of salivary gland, by report? Can you help me with this?

Admin January 27, 2017 8:44 am

By report means you must send in a dictated report from the dentist on the procedure and how it was preformed, along with the claim submission.

asked 9 years ago by

ADCA Admin

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Please let me know what the CPT codes are for extraction partial impaction and extraction of full bony impaction.Thank you,Sharon Carrillo

Admin September 3, 2013 4:24 pm

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)