Due to limitations within the CDT code structure, the concept of a Professional and technical fee has not gotten the attention it deserves. Unfortunately, anesthesia reimbursements and cases for medically necessary Dentistry, not OMF, are not payable under medical coverage. This is most prevalent with Pediatrics for Special Needs and Behavior Management Cases, where Payers generate huge savings from cases performed in-office rather than in ASC or Hospital settings.
I have reviewed every possible option within the CDT guide and industry reference material for a code that could be used for "Facility Fees". Dentistry has no coding to consider reimbursement of actual costs of performing surgical cases under General Anesthesia or Conscious Sedation like Medical coding. These actual costs of monitoring equipment, pre-operative clearance, and post-operative case management with nursing staff should be billable.
We are seeing children under 3 for sometimes 3 appts and then charging out a D0150 . Wondering if we can chg a D0120 for a visit and then a D0150
Extraction of primary tooth #t was done and impression for space maintainer will be done at next visit.
Patient was administered anesthetic, gum tissue was opened, & a burr was used to grind off a piece of tori that was protruding from LR lingual area.
i have the 2022 code book and am having trouble finding it. Is it in the new book? if so where so i can see how it is in there.
Has this code been replaced? Need to remove bone in the area of 22 and 29. What do I use?
like a 3 or 4 unit bridge that needs to section off a part for extraction
Or is this procedure inclusive to the surgical extraction?
I had my teeth removed in another country but did not have time to stay to have the stitches removed. I was charged $250 to have the stitches removed from the inferior maxillary. The code used was D7912, which is for complicated stitches bigger than 5 cm. The dentist did not take more than five minutes to remove the stitches. I understand that the removal of the stitches is part of the follow-up visit, but in this case, it is not a follow-up visit and the clinic must be paid. Thus, what is the correct code? Is it still D9999?