American Dental Coders Association

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What area/tooth should be reported when billing d1517?

Extraction of primary tooth #t was done and impression for space maintainer will be done at next visit.

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120
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What is the appropriate code for removal of a mandibular tori fragment?

Patient was administered anesthetic, gum tissue was opened, & a burr was used to grind off a piece of tori that was protruding from LR lingual area.

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Need the following medical codes & descriptions and any narratives that may apply:1) Tapp applicance reguarding sleep apnea not a CPAP appliance2) Code for a pt that fell & broke her bridge3) Pano or full mouth x-ray4) TMJ5) Visolite (oral cancer screening)6) Exam for injury7) Pa ( single x-ray)8) Sedation (oral)9) Nitrous Oxide10) Frenulectomy11) GingivectomyReceipt No: 0060-3277-6206-5138Gina
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102
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What type of exam code is normally filed and paid with a D4910
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52
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I need to find out how to code for 3rd molar extractions on the CMS-1500 claim form.
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A patient's dental insurance was billed for 3rd molars and sedation. Insurance charged and paid as follows: D7230 x4 $350; D9241 $300; D9742 $75 for a total of $1775. Dental insurance subtracted the $50 deductible and then paid @ 50% or $862.5 leaving the patient with a balance of $912.50. MY QUESTION THEN is WHAT codes do we use to charge his medical insurance?Also, should we have charged medical insurance first?THANK YOU!
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How would you bill for a sleep apnea device to be used in conjunction with a CPAP machine to medicare? I have been using a 1500 form using dx: 327.23, 780.57,& 286.09. New office visit 99203 & E0486. With a description of the E0486. Should both of these codes be payable by Medicare and/or commercial insurance payers? Or am I billing this incorrectly?
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What is the dental code for medical code 20900? Thanks!
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I am new to orthodontic and dental billing. The patient may have a 27-month or 30-month treatment, but our office likes to have the bill paid in 24 months. So the private pay part is divided up, % down and 24 monthly payments. In submitting claims for insurance, I have seen others put in the number of months of treatment remainnig (box 42 J400) accurately as 27 or 30, but then put the code, total case fee, initial banding fee, and something like "24 months to be billed at $____ per month." Is it okay to bill insurance this way?
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46
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What are the rules to billing medical carriers and how do you determine diagnosis codes required?
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