Wrong Code = Low or No Insurance Payment
Coding dental claims can be challenging especially when you don’t keep up on the changes that take place every year. Last year alone– Effective January 1, 2015, the Code on Dental Procedures and Nomenclature (CDT), produced by the American Dental Association, included 16 new procedure codes. In addition to the 16 new codes, there was five deleted codes and 28 revised codes. We encourage you to review the new codes and how they will affect your claims submissions.
Contact your software support for updates or if you are not paying for support you will enter the code additions, revisions and deletions yourself. If you haven’t done this in the last two years you are getting not only denied claims but you are losing money that belongs to you in the form of payment and to the patient in the form of benefits.