Ask the Coder (559)

The place of service code would depend on whether the patient was an inpatient or outpatient of the hospital Inpatient - 21 Outpatient - 22 Ambulatory Surgical Center - 24

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...)

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

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

No, you may not bill this to the insurance. Coding guidelines clearly state topical flouride varnish must be delivered under the direct supervision of a dental professional and delivered in the dental office.

The ADCA is coming out with an Oral Surgery specific course that will assist with coding and billing dental implants. This course is set to be released January 20, 2015. In the meantime you may check with Glidewell Dental Lab as they offer a course on billing dental implants.

No it is not considered bilateral...however you would have two codes one for the maxillary and one for the mandibular. If the jaw sugery was performed on both upper and lower, right and left sides then you would have a bilateral upper and lower jaw surgery.