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Odes **New CDT codes effective for services provided on or after January 1, 2014** Yale Wasserman, DMD Medical Publishers, LTD National Dental Advisory Service 2014 Book Only $99 2014 Fees Based on NEW CDT-2014 Codes and Nomenclature Compare Your Fees with NDAS 40th, 50th, 60th, 70th, 80th, 90th, 95th Percentile Fees Answers to the Dental Coding most Frequently Asked Questions (FAQs) Insurance and Licensing Commissioners Directory American Dental Association Claim For.
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Spiral81 FAQ
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Dental billing uses diverse data for the coding process to send claims. They use CDT (Current Dental Terminology), updated and published by the American Dental Association, to get successful reimbursement. Whereas medical billing and coding use three main aspects CPT, HCPCS, and ICD-10.
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An evaluation limited to a specific oral health problem or complaint, and may require interpretation of information from additional diagnostic procedures. This evaluation is typically used for dental emergencies, trauma, and acute infections, and may require additional procedures on the same date as the evaluation.
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These codes are typically used when required from the insurance payer, or a dental professional performs procedures in an inpatient hospital setting. While not all dental insurance carriers require the use of ICD-10-CM codes, an increasing number of dental payers do, including Medicaid programs.
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Typically, dental insurance plans cover routine dental maintenance, which includes periodic oral examinations. They may not include the special oral cancer screenings discussed above, so you will want to check on this ahead of time or ask your dental provider to check on that for you.
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What is the difference between D4341 & D4342? D4341 is the dental code for scaling and root planing, four or more teeth per quadrant and D4342 is the code for scaling and root planing, 1-3 teeth per quadrant. The only difference between the two is the amount of teeth involved in the treatment.
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D0120 describes a periodic oral evaluation provided to an established patient, but may not be used with a new patient. Codes D0150 and D0180 may be used to describe an evaluation provided to a new or established patient when the patient is evaluated comprehensively.
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Periodic exam – established patient: Evaluation for a patient of record to determine changes in the patient's dental. and medical health status since a previous comprehensive OR periodic evaluation. Includes (must include) a soft tissue (oral cancer) evaluation, periodontal screening where indicated; and may.
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D0120 Periodic oral evaluation – established patient An evaluation performed on a patient of record to de- termine any changes in the patient's dental and medical health status since a previous comprehensive or peri- odic evaluation.
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