Answer: Yes, you still bill D1110, the definition of the prophylaxis code includes natural teeth and implants. You may use D9932 to clean and inspect the upper denture. Both codes can be billed to insurance on the same date of service."

Answer: Composites and indirect restorations (crowns, onlays, etc.) do not share frequency. You should expect payment as usual.

What may occur is a buildup (D2950) not being covered. Sometimes they share frequencies with composites. Buildups are direct restorations. A cast post and core (D2952) are indirect and wouldn't share frequency. It all depends on how the plan is written.

Generally, out of the clients we serve nationwide, this scenario is not an issue with most payors.

Answer: If you're placing a desensitizer, use code D9910 for desensitizer and D9911 for desensitizing resin. The insurance company will most likely deny the code and consider it inclusive of the crown preparation or composite.

If you're in-network, you may need to take the write-off, depending on the group plan limitations. If you're out-of-network, charge your fee for these codes. Code what you do, always. Insurance will do what insurance does.

Answer:

Answer: The current procedure code you are using; D9933 cleaning and inspection of removable complete denture, mandibular; is incorrect because it is not an implant related code. This code is for an edentulous mandibular arch.

Answer: The closest code to describe this appliance is D9944 occlusal guard - hard appliance, full arch

Removable dental appliance designed to minimize the effects of bruxism or other occlusal factors. Not to be reported for any type of sleep apnea, snoring or TMD appliances.

Even if the guard has soft and hard components, the hard appliance code is appropriate. Code it per arch.

Answer: It is appropriate to use D7921 collection and application of autologous blood concentrate product for the plug, even if you press it to flatten it, as the code includes the application of the blood products.

If you are using a resorbable membrane, the appropriate code is D7956 guided tissue regeneration, edentulous area - resorbable barrier, per site

This procedure does not include flap entry and closure, or, when indicated, wound debridement, osseous contouring, bone replacement grafts, and placement of biologic materials to aid in osseous regeneration. This procedure may be used for ridge augmentation, sinus lift procedures, and after tooth extraction.

The following codes are only appropriate for periodontal defects around natural teeth.

D4266 guided tissue regeneration, natural teeth - resorbable barrier, per site

D4267 guided tissue regeneration, natural teeth - non-resorbable barrier, per site