Ask the Coder (529) All questionsAnswered questionsUnanswered questions > Sort by date: AnswersViewsQuestion1answer43views When it comes to double coverage, and we submit a claim to the primary insurance first, does this always mean medical coverage? I remember hearing that Primary means medical? How does this come into play in the dental field? We see pt's in our private practice as well as in hospital out-pt OR setting when necessary.Thank you for any clarification.1answer38views > If a young child had extensive restorative dental work completed in > an out-pt OR hospital setting, as well as 8 extractions (D7140), how > do I go about billing medical for the extractions. I was told in a > previously submitted question that CPT code 41899 can be used to bill > medical using the CMS-1500 form if more than 7 extractions were > performed. > > I am a little confused on how to approach the 1500 form. Do I need to > include all of the D-codes charged out for the apt as well? The > extractions are the only ones I can submit to medical insurance under > code 41899 to my understanding. > > Or do I only bill code 41899 eight different times on the CMS-1500 > form and not include the other D-codes? > > Would this process change if the insurance provider is the same for both the medical > and dental benefits? > > Thank you for you time. I really appreciate any clarification I can > get.1answer22views If a pt. presents with cerebral palsy and mental/developmental issues- what is the best ICD-9 Diagnosis code? Thank you1answer46views After a pt has been seen in an OR out-pt setting under general anesthesia for dental treatment, and is then seen back in the private practice two weeks later for a post-operative exam; What is the best CDT code to use? Thank you.1answer35views What is the best way to describe the importance of ICD-9 diagnosis codes in the following situation: A pediatric dentist has his own practice, but also treats pt's in a hospital OR setting at times. Where do the ICD-9 codes come into play as far as treatment notes are concerned. The hospital will bill for the facility and anesthesia (the dental office will submit the D-codes). Is there protocol? I understand that the ICD-9's are diagnosis codes that help explain the "situation" per say. In a dental setting-where do these codes get noted? Thank you for your time :)1answer97views I need to code- get ICD-9 codes for a pharmacy for arestin- the conditions would be: Chronic Advanced periodontitis, and generalized marginal pappillary severe gingivitus.I am also trying to figure out what the correct bonegrafting codes we should be using. WE do them often, sometimes prior to implant, and soemtimes just for obtaining a level of bone for a prosthetic placment at some point. WE always do them with extractions and most of the time we also place the tissue- Mucograft.Is there a code for placing arestin when the patient gets it through a pharmacy? Either medical or dental?1answer47views Should incipeint area on occlusal,be billed as D2391 or D1352?1answer40views Can an ultasonic cleaning be billed using a D1110?1answer53views We are a pediatric dental office and at times doctor treats patients in an OR hospital setting (out-pt) when necessary. He performed multiple extractions under code D7140 (Extraction Erupted Tooth EXR). Is there an equivalent CPT code that can be billed to the pt's medical insurance first or should I simply bill dental? Thank you, -Shellea1answer36views I work in a pediatric dental office, and my doctor also treats some of our pt's in an OR setting at the hospital when they require multiple fillings coupled with dental anxiety etc. I understand that doctor has to provide the hospital with an ICD-9 diagnosis code so they can properly bill medical insurance and I bill dental (using the D-codes unless able to bill medical first). My question concerns the CPT book. Am I correct in understanding that this book will come into play if I bill medical insurance only NOT dental using the 1500 form? How does this work in office as oppose to in treatment being done in the hospital? Thank you, -Shellea « Previous 1 … 38 39 40 41 42 … 53 Next » Ask a Question