Ask the Coder (539)

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

Tomography without contrast 70486 with contrast 70487 3D rendering 76376-76377

You can, however, depending on the carrier this may not be covered if D5130 is not delivered on the same day.

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.

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.