Wednesday, February 22, 2006

Correct CDT coding of dental insurance claims

An example that can slow down payment because of improper coding is:

Claims are sometimes submitted for fixed prosthesis retainers (abutments) using single crown codes - 2000 Series - Restorative Category- rather than using the 6000 Series – Prosthodontics-fixed Category.

Besides improper procedure reporting, it can also impact benefit levels.

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