Results 1 to 5 of 5

Hcpc d codes for dental in asc

  1. #1
    Location
    DULUTH MN
    Posts
    14
    Default Hcpc d codes for dental in asc
    Medical Coding Books
    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 format. Now we are getting denials from BCBS for using the invalid HCPC procedure code in professional service. Any input would be nice.

  2. #2
    Location
    Honolulu, HI
    Posts
    49
    Default
    I bill HCPC D codes for dental in an ASC in Florida. However, we have never billed any D codes to any commercial carrier as they will be denied.

    Here in Florida we do have a state statute that requirs commercial carriers to cover dental procedures in outpatient settings for children with medical necessity. Although the statute provides coverage for children, we are finding that commercial carriers vary in the age limitation. We are finding that BCBS will cover a child up to the age of 8. In most of our dental cases, we have been billing with the unlisted dental procedure code 41899.

    Our Medicaid cases are much easier. We have been advised to bill using D9420 as that is the only code Medicaid will cover here in Florida. As Medicaid is different in each state, you may want to ask your local Medicaid Provider Liason.

    Hope this info was somewhat helpful.

  3. #3
    Location
    Honolulu, HI
    Posts
    49
    Default
    Oh also for the lack of D codes in the current HCPC..I noticed that it explains in the changes section that Ingenix removed the D codes due to copyright issues with the American Dental Association. You can still get the D codes but you have to buy them separately through the ADA.

  4. #4
    Location
    New Port Richey & Gulf to Bay
    Posts
    107
    Default
    I either go with the 41899 or the D codes. At the end, billing for these procedures are really a pain! It depends on how your contracts are set up.

  5. #5
    Location
    Philadelphia, PA
    Posts
    92
    Smile
    We use D7220-D7250, they havent been deleted. Our commercials pay and so does bcbs/aetna. We also use the unlisted 41899. We always get paid with these two codes. Thanks.

Similar Threads

  1. Dental coding ASC
    By sxcoder05 in forum Outpatient Facilities
    Replies: 7
    Last Post: 09-14-2012, 10:23 AM
  2. Dental charges in an ASC
    By anwalden in forum Outpatient Facilities
    Replies: 3
    Last Post: 09-12-2011, 05:37 PM
  3. Dental in an ASC
    By anwalden in forum Outpatient Facilities
    Replies: 0
    Last Post: 06-13-2011, 02:06 PM
  4. Dental procedures in ASC
    By tincyr in forum Outpatient Facilities
    Replies: 1
    Last Post: 11-13-2008, 04:51 PM
  5. Dental in ASC
    By SLELISON in forum Outpatient Facilities
    Replies: 4
    Last Post: 05-29-2008, 05:50 PM

Tags for this Thread

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.