Anonymous – Contributor Profile

Hi! What extraction code are you billing with the D7285? Sometimes, Delta will bundle D7285 with D7250 and D7210. This denial could potentially be appealed with a detailed narrative written by the provider explaining why the biopsy is necessary and asking that Delta review D7285 under CDT guidelines, because the CDT defines D7285 as a (more)

Hi! There is not particular dedicated CDT code for all laser therapy in dentistry. Laser procedures are typically billed under existing CDT codes that describe the specific procedure performed, regardless of whether a laser was used. Example: laser-assisted perio therapy can be billed under D4240, D4241, D4260, or D4261, depending on the specific tx. Some (more)

Hello! D9222 and D9223 are billed specifically in 15 minute increments, so if it is under 30 minutes, it is not recommended to bill for both D9222 and D9223 (total of 30 minutes) if only 20 minutes of sedation were performed.

Hello! Since you were referred to the specialist by another provider, and not seen by the original referring dentist, the code D9310 (Consultation- Diagnostic service provided by dentist or physician other than requesting dentist or physician) was appropriately applied. Alternatively, D0160 ( Detailed and extensive oral evaluation, problem-focused, by report) could also be used, as (more)

Depending how old the child is the bitewing could also be D0272

Hello! This is a great question. For D4910, each insurance plan is different. If the patient has coverage for D4910, typically, the insurance will want the date of the initial scaling and root planing along with x-rays and perio charting less than 12 months old. When it comes to the perio maintenance frequency, that also (more)

Hi! In past offices, we have used code D9310: Consultation - Diagnostic service provided by dentist or physician other than requesting dentist or physician.

Your CPT code is the D7220 and D 7230. (The extraction is the procedure) You won’t have a modifier. Your diagnosis code will come from a ICD 10 code book. This is the why it’s being pulled. Are they impacted,, etc that’s the code you would put . If you tell me why it’s being (more)

The American Dental Association has said it's a matter of clinical judgement of the dentist. It is appropriately reported as D4910, but if the treating dentist determines the patient can be treated with routine prophylaxis, then D1110 may be appropriate.

Agree with prior post, dentist do not usually charge a lab fee. BE careful charging more than the allowed amount on contracted plans and covered services; that is a compliance no no.