Ask the Coder (560)

I found this on the webpage: https://www.dentalclaimsupport.com/blog/examining-cdt-code-d2940-do-you-place-protective-restorations-at-the-emergency-appointment#:~:text=The%20nomenclature%20defines%20D2940%20as%20a%20protective%20restoration.,outside%20the%20mouth%20then%20placed%20on%20the%20tooth This type of restoration is accurately documented and reported to the payer using code D2940 which was revised a few years ago. The previous code nomenclature defined this code as a sedative filling. The current code language includes a revised nomenclature and a descriptor. D2940 protective restoration Direct (more)

CDT code D9110 is typically inclusive of the extraction and therefor will be rejected when submitted at the same time as an extraction. As for the other code D01240 this code does not exist. If the code you were intending is D0120 that would be an inappropriate code as well, since the patient is coming (more)

You're stating that the insurance downcoded the procedure based upon the evidence of the perio chart? It would depend on if you are in network or out of network with the insurance company as to how they process the difference when they downcode the procedure. If you are in network, it's likely that they process (more)

It is very likely that the insurance is going to deny the second D9222 and D9223. I would submit medical records indicating the need for general anesthesia the second time (twice in a day). This is a rare occurrence, and it's likely that it will be denied as you already had the patient sedated once (more)

I am unsure, honestly, how to answer this. I am not familiar with anything beyond SNOMED and SNODENT. https://www.ada.org/resources/practice/dental-standards/snodent

D9630: drugs or medicaments dispensed in the office for home use; Includes, but is not limited to oral antibiotics, oral analgesics, and topical fluoride; does not include writing prescriptions.

If the fillings touch then it’s one two surface filling. If they don’t touch/aren’t connected then it’s two one surface fillings. Insurance will typically downgrade it and pay based on a two surface, but you have to always bill what you do.

Need more information. One is a crown code and one is a space maintainer. You always bill for what you do so I’m not sure what you are asking?

There is no code specific to just reattaching the locator abutment. I would say that you should bill D6199 and include documentation reporting what was completed.