dental

  1. bekka

    Wiki Medicare billing dental

    Is anyone billing the new accepted dental codes to Medicare with success on more than one line item? For example we billed a D7210- 4 times each separate line and they are paying one and denying the others as duplicates? Any one have any suggestions. No matter the code they are only paying one...
  2. C

    Wiki Medical vs. Dental Codes

    I'm having a hard time with Highmark claims when it comes to billing wisdom teeth extractions to medical insurance using medical codes. The first code always pays, but all of the subsequent codes on the claim deny as duplicates. I make sure that the teeth numbers are on the claim too. Am I...
    • caitlin1994
    • Thread
    • cpt cpt codes dental dental billing dental codes dental coding medical billing medical billing & coding wisdom teeth wisdom tooth
    • Replies: 2
    • Forum: Billing/Reimbursement
  3. B

    Wiki DENTAL SPLINTING OF AVULSED TEETH

    There's dental code D7270 for splinting of avulsed or dislocated teeth (teeth were splinted with wire and dental bond) due to trauma, but I cannot find a "perfect" CPT code. I've considered 21085...but is this the best code to use? :unsure:
  4. K

    Wiki Dental Claim to Medical Carrier-codes??

    Hello, Can anyone help me translate how the following dental codes would be coded for medical? The dental carrier wants it to go to medical first. d7240- removal impacted tooth 32 d7240- removal impacted tooth 32 d7241- removal full bony impaction, difficult d9239 intravenous moderate...
  5. R

    Wiki Dental procedures provided in a facility..HELP!!!

    Hello, I am trying to figure out how a facility bills/gets reimbursed for dental services provided in an OP surgical setting-by an oral surgeon that is a DMD or DDS. We have typically used 41899 or other 4XXXX range CPT codes and received minimal if any reimbursement. Now with Medicaid using...
  6. D

    Wiki BCBS Cross Coding Oral/Maxiollofacial Surgery (CPT to CDT)

    Hello everyone! My name is Mallory and I work as a coder/biller for an oral/maxiollofacial surgeon in Lee's Summit, MO. While the majority of our practice is dental related (wisdom teeth, jaw bone grafting, etc.) my physician also does trauma rounds at the hospital, sees patient's for oral...
  7. C

    Wiki Auditing Dental services

    Does anyone have experience auditing dental services on the payer side that may possibly be able to chat or PM with me? Thanks
  8. S

    Wiki Dental claims-Medicare & E&Ms

    I have a oral surgeon specialist, can they bill E&Ms to Medicare when a covered or non-covered procedure is being done?
    • scoombs58
    • Thread
    • dental e&m medicare oral surgeon
    • Replies: 0
    • Forum: E/M
  9. E

    Wiki Dental: Open vs Closed Fracture of a Tooth

    Can someone please explain the difference between Open vs Closed Fracture of a Tooth? I am looking for an overall answer but my example for today is... "front incisors broken to the gum-line with caries" Thanks in advance!
  10. E

    Wiki Dental: Open vs Closed Fracture of Tooth

    Can someone please explain the difference between Open vs Closed Fracture of a Tooth? I am looking for an overall answer but my example for today is... "front incisors broken to the gum-line with caries" Thanks in advance!
    • enascimento
    • Thread
    • broken tooth dental fracture
    • Replies: 0
    • Forum: ICD-10
  11. K

    Wiki Procedure 99188 and 99401

    Our physicians want to offer to our patient's dental evaluations and dental varnish in our office at same time they are doing a well check. The dental services would be for children 3 and under and for patient's who have a commercial insurance. Procedure codes are 99188 and 99401 dx Z41.8. We...
    • kvankuren
    • Thread
    • billing compliance dental legal medically necessary
    • Replies: 1
    • Forum: Pediatrics
  12. B

    Wiki Exam documentation - I know that VS can be counted as constitutional

    Hello everyone, I code E/M for ED providers, and I have a question about exam documentation. Occasionally, for whatever reason, the exam portion of our notes will be blank, with the exception of the vital signs. I know that VS can be counted as constitutional, but is that a billable service...
    • bforr
    • Thread
    • dental documentation e/m exam guidelines
    • Replies: 2
    • Forum: E/M
  13. F

    Wiki Encounter for preoperative examination.

    Encounter for preoperative examination Is it appropriate to code Z01.811 Encounter for pre-procedural respiratory examination and 99214. The office visit was for a pre-surgery exam on a child that is having dental surgery under sedation.
    • fferali
    • Thread
    • 99214 dental encounter examination sedation
    • Replies: 2
    • Forum: Pediatrics
  14. G

    Wiki Hcpc d codes for dental in asc

    Are you aware that the D codes are no longer in the HCPC? Does anyone bill Dental for ASC facility? Are you using HCPC D codes? According to BCBS of MN all ASC's should bill on the professional electronic claim format as of 07/01/09. BCBS MN will deny all ASC claims on an institutional...
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