Ask the Coder (539)

Hi! This varies per insurance company. I do have a few questions in order to be able to answer a bit more in detail: On the date that you called for benefits on the D2954, was the question specifically asked if the crown would be covered if done on a separate DOS than the D2954 (more)

You will use the NPI of the dentist who performed the work in box 54 and the facility/dentist (sole proprietor LLC information) entity in boxes 48-52

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Your CEU information will be located in your members dashboard under submit CEU"s.

Both would be considered inclusive of the initial treatment as it is within the 10 day global period guideline.

No, you may charge one or the other but not both.

As of yet there is no set code, you may use an unlisted oral surgery code for this.

When the dental carrier asks for the "primary carriers explanation of benefits" Here are some of the most commonly sent dental procedures: Frenulectomy, Biopsy, Extraction of Impacted Wisdom Teeth, Alveloplasty, Exostosis removal, Removal Mandibular Tori, and Vestublopasty.

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...)

No, only the treating doctor may bill for his or her services. There is no special code for the dentist, he/she may only collect on the work performed and the anesthesiologist may collect on the work he/she performed.