I’ve found conflicting information about billing more than one restoration on the same tooth on the same day. I’ve seen information state that if the surfaces are not touching, then it is appropriate to report more than one restoration; however, I’ve also read that this practice may be considered fraudulent or abusive as more specific restoration codes are available. That this maybe considered unbundling. Which is true?
Needing some clarification on code 7950. A tooth was previously extracted and we are now going in to graft the site for future implant. Is 7950 the correct code? 7953 won't work bc the tooth was previously extracted and 6104 won't either bc we are not placing implant yet. Thank you!
Due to limitations within the CDT code structure, the concept of a Professional and technical fee has not gotten the attention it deserves. Unfortunately, anesthesia reimbursements and cases for medically necessary Dentistry, not OMF, are not payable under medical coverage. This is most prevalent with Pediatrics for Special Needs and Behavior Management Cases, where Payers generate huge savings from cases performed in-office rather than in ASC or Hospital settings.
I have reviewed every possible option within the CDT guide and industry reference material for a code that could be used for "Facility Fees". Dentistry has no coding to consider reimbursement of actual costs of performing surgical cases under General Anesthesia or Conscious Sedation like Medical coding. These actual costs of monitoring equipment, pre-operative clearance, and post-operative case management with nursing staff should be billable.
how many fillings is standard for dentists to do in one sitting?