American Dental Coders Association

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Can you enter two separate restoration Codes

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Can you enter two separate restoration codes on the same day for the same tooth or is it correct to bill as a two surface restoration even though the restorations are not touching. For instance tooth #30 has occlusal but also separate buccal.

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Asked on August 18, 2022
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If the fillings touch then it’s one two surface filling. If they don’t touch/aren’t connected then it’s two one surface fillings. Insurance will typically downgrade it and pay based on a two surface, but you have to always bill what you do.

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Answered on August 18, 2022
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    If the fillings touch then it’s one two surface filling. If they don’t touch/aren’t connected then it’s two one surface fillings. Insurance will typically downgrade it and pay based on a two surface, but you have to always bill what you do.

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    Answered on August 18, 2022
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      Answered on August 18, 2022
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