Not usually; the insurance will require a medical code to process the claim.
No. The billing codes for medical and dental are completely separate. Dental codes beginning with the letter D and are followed by 4 or more numbers. eg. D1110 for an adult prophy/cleaning Dentists are only allowed to bill for dental treatment with dental codes and not allowed to use medical codes. Billing with a medical code while performing a dental procedure for which a dental code exists is considered insurance fraud and punishable by law.
CPT,Current Procedural Terminology is for Medical codes. The CDT, Current Dental Terminology is for dental codes. D1110 is a prophylaxis which consists of removing plaque and cleaning the teeth.
Your medical plan would pay if you needed to be in a hospital to have a tooth extracted, for example. For everyday care in the office, your medical plan does not pay for the procedure codes that a dentist bills.
A labial or buccal frenectomy codes to 40819. A lingual frenectomy codes to 41115.
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CDT codes are a series of numbers and letters that corresponds to a dental procedure. Example, D1110 translates to an adult prophy or cleaning. These codes are needed to submit dental claims to your dental insurance. The codes are in a book that can be purchased explaining what each code is and when it should be used.
I wish I could more specifically answer your question but I cant without knowing what you are trying to code. Medical claims are billed with CPT codes which are either ICD9 or HCPCS codes. Depending on the type of claim you are filing it could be either... or both. Sorry I couldn't be more helpful. Evan
Medical coding involves identifying all medical conditions using specific codes. It affects healthcare because these codes must be correct or errors in treatment may result. Also, insurance companies pay based on these codes, so if they are wrong insurance may not pay.
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In the private benefits market, 97% of all dental benefits are provided under separate policies of coverage by carriers that specialize in dental benefits. Why? Dental has a separate set of procedure codes for billing treatment and dentists typically practice in a solo or small practice setting focused on dentistry. And dental disease is limited to two main categories--tooth decay (caries) and gum disease (periodontal disease). As a result, it takes focused knowledge, IT systems and outreach to dental offices to develop and administer dental benefits. If a medical plan includes any dental benefits in a health policy, those benefits are usually very limited, i.e. a small reimbursement for a dental office visit and perhaps for filling of cavities. Dental policies typically have broader coverage.