Nierman Practice Management Logo
Follow us on Facebook
Follow us on Twitter
Connect with us on Linked In
View demos and More on You Tube
DentalWriter Software Logo 1-800-879-6468
Login   Register Here



New Topic Post Reply
#1 Posted : Tuesday, May 14, 2019 4:02:58 PM(UTC)

Rank: Guest

Joined: 9/8/2012(UTC)
Posts: 1,100

Was thanked: 16 time(s) in 15 post(s)
Is it correct that if there is not a CPT than the company has to default to the CDT code?
If so do you have any documentation to support this for my appeal?
If you could be email me at I would really appreciate it.
#2 Posted : Tuesday, May 14, 2019 5:03:28 PM(UTC)

Rank: Administration

Joined: 11/21/2012(UTC)
Posts: 1,457

Thanks: 39 times
Was thanked: 47 time(s) in 47 post(s)
Hi Guest!

I am not aware of any rules that insurers must process "D" codes when a direct crosscode is not available. Some medical insurers will accept codes like 41899 for services that do not have a direct crosscode available. 41899 stands for: Unlisted procedure, dentoalveolar structures

...and the explanation of the service the code is being used to represent can be provided in a narrative report, and/or by using the ZZ qualifier with a short narrative description in the supplemental information (the red shaded line that is typically left blank) on the claim form on the the line items in field 24j.

Hope this helps!
Quick Reply Show Quick Reply
New Topic Post Reply
Forum Jump  
You can post new topics in this forum.
You can reply to topics in this forum.
You can delete your posts in this forum.
You can edit your posts in this forum.
You cannot create polls in this forum.
You can vote in polls in this forum.