Ask the Coder (539)

The most appropriate codes for your scenario are as follows: D0220, D0230, D4921

The most appropriate code based on the information provided would be D4231 (anatomical crown exposure-one to three teeth per quadrat). Please note: You should always check with carrier guidelines prior to submitting a claim

The ICD-9-CM code for cerebral palsy is 343.9 You must be more specific on the type of mental/developmental issues in order for a code to be given.

Most carriers consider major surgery to consist of 7 or more contiguous teeth. Each carriers idea of major surgery is different, to get this in writing you will need to look up your carriers utilization review guidelines.

Patient/Provider termination letters may be found in the forms section of your members dashboard

Yes, you can still see the patient. You will have to bill the private insurance first and when you receive the EOB you will attach it to the claim and submit to Medicaid.

The appropriate code is D0160

The CDBS class and exam does not require any extra material or books. The CDC course and exam requires 1 book: CDT 2025: Current Dental Terminology - Available on Amazon.

Hi! This is usually up to the provider/ office manager for the pt payment. Will any insurance be billed? If so, the insurance could possibly deduct what they paid toward the D2799 from what they would pay for the D2740 if the pt has coverage for those services.