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Need help with dental billing codes and procedure, my

Hi, need help with dental...
Hi, need help with dental billing codes and procedure, my dentist told me I have to have a deep cleaning, here are the codes she used 4341, 4999,4921,4342, my insurance does not cover code 4999 is there an alternative code for 4999 that can be used?
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Answered in 1 hour by:
2/1/2018
Just Dental Truths!
Category: Dental
Satisfied Customers: 1,172
Experience: 30+ years - Clinical Practitioner
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Hello! Thank you for asking your question, I'm reviewing it now and will reply back to you in a few moments.

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Generally ALWAYS.

Your Dental personnel merely need to be told that your insurance won't pay for 4999, and they need to be prompted to be using a different Dental code which is more "specific" - to identify the procedure...

4999 = any "unspecified" periodontal procedure. And the insurance company wants "specifics". I think you should easily be able to have the insurance procedure re-coded and most insurance companies will then cough up what they should once identified!

I hope this helps you.

Dr. Rampton

*Please feel free to ask additional follow up concerns, should you have such - OK? Please also do rate my answer. Thanks, ***** ***** me know if I can help any further...

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Customer reply replied 4 months ago
thanks dr. Do you have any alternative codes that I could tell them they should I need a deep cleaning in all four quadrants?

Sorry, I've been away for a while.

_________________

Yes, #4341 is a common one used, covers a good amount generally by ones insurance, and covers a high percentage of the cost for you the patient as well. But there are others - I think the Dental team where you've been, perhaps didn't realize that this was important to you (perhaps), as it would be to me, because it's a considerable amount of cash out of pocket potentially for you.

So, I'd suggest you inform them, that your Insurance is stubborn & not going to pay. And another similar Dental code would behoove and defer the cost to be covered in your behalf. I think it should work out fine, if you let them know the situation...

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I certainly hope something from above may have helped you...

Dr. Rampton

Just Dental Truths!
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Satisfied Customers: 1,172
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