What is cross coding?

Cross coding is a term for billing medical insurance for dental services. A patient can have dental services, diagnosed as medically necessary, billed to their medical insurance plan. With medical carriers increasing their dental related coverages, cross coding and billing for dental services is becoming commonplace.

Coding and billing staff should be trained in medical and dental coding. A biller cannot effectively appeal denials without a working knowledge of CDT®, CPT®, ICD-10-CM, and HCPCS Level II guidelines. Additionally, understanding bundling issues and knowledge of proper documentation requirements are essential to ensure billing compliance.