Accurate medical billing is essential in dentistry to ensure providers receive timely reimbursement and maintain compliance with payer requirements. While dentistry often relies on CDT codes, certain procedures require the use of CPT codes for billing, especially when services overlap with medical treatment. Understanding the appropriate CPT codes for dental procedures helps reduce claim denials and ensures smooth revenue cycle management.
Here are some frequently used CPT codes in dental billing:
These codes are especially relevant when dental issues overlap with medical necessity, such as oral surgeries, biopsies, or complex lesions requiring pathology review.
Alongside CPT codes, ICD-10 codes are required to justify the diagnosis and medical necessity of the dental procedure. For example:
Using the correct ICD-10 codes ensures claims are supported and reduces the chances of rejection. For detailed guidance, providers often refer to the American Dental Association (ADA) coding resources.
At EZ Settle Solutions, we help dental providers streamline their Revenue Cycle Management (RCM) processes with end-to-end support. Our services include:
By outsourcing billing and coding to EZ Settle Solutions, dental practices can reduce administrative burdens, focus on patient care, and maximize revenue collections.
CPT codes for dental procedures play a vital role in bridging medical and dental billing. Proper documentation, correct code selection, and pairing with ICD-10 codes are critical for successful reimbursement. Partnering with an expert billing company like EZ Settle Solutions ensures your dental practice operates smoothly and profitably.