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  1. Asked: July 11, 2025In: GP Dental

    Can GP Dentist Claim 42311 ?

    Madel Nucum
    Best Answer
    Madel Nucum Professional Expert
    Added an answer on July 11, 2025 at 12:31 pm

    Based on the revised DOH Scope of Practice (Section 5.3.2.8 B) gingivectomy is considered a moderate to advanced periodontal procedure because it involves surgical removal of diseased gum tissue usually needed for periodontal pockets deeper than 5mm, excessive gingival overgrowth or conditions thatRead more

    Based on the revised DOH Scope of Practice (Section 5.3.2.8 B) gingivectomy is considered a moderate to advanced periodontal procedure because it involves surgical removal of diseased gum tissue usually needed for periodontal pockets deeper than 5mm, excessive gingival overgrowth or conditions that cannot be managed with non surgical treatment….this procedure requires specialized skills to safely reshape the gums and prevent further disease progression which is why only periodontists or trained specialists are authorized to perform it.GP Dentist are limited to  without deep pockets, significant bone loss or the need for surgery

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  2. Asked: July 1, 2025In: GP Dental

    Code for Removable essix retainer with pontic

    Madel Nucum
    Best Answer
    Madel Nucum Professional Expert
    Added an answer on July 2, 2025 at 5:18 am

    83101 – Upper Essix 83102 – Lower Essix 62703 – Pontic will be chairside (for free) Notes: Be careful when you bill essix regainer under Insurance, it will affect the future orthodontic approval request.

    83101 – Upper Essix
    83102 – Lower Essix
    62703 – Pontic will be chairside (for free)

    Notes: Be careful when you bill essix regainer under Insurance, it will affect the future orthodontic approval request.

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  3. Asked: July 1, 2025In: GP Dental

    Can GP Claim 72111 ?

    Madel Nucum
    Best Answer
    Madel Nucum Professional Expert
    Added an answer on July 1, 2025 at 8:27 pm

    Normal GP, NO. But if GP with Implant Privilege, yes, they can do exo on impacted tooth, soft tissue. Make sure it's mention in your internal clinical privileging

    Normal GP, NO. But if GP with Implant Privilege, yes, they can do exo on impacted tooth, soft tissue. Make sure it’s mention in your internal clinical privileging

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  4. Asked: July 1, 2025In: GP Dental

    Can K02.63 – Dental Caries on Smooth Surface into Pulp Support RCT Treatment alone

    Madel Nucum
    Best Answer
    Madel Nucum Professional Expert
    Added an answer on July 1, 2025 at 8:20 pm
    This answer was edited.

    It is more advisable to categorized it immediately. For example, the Dr diagnosed the patient with caries into pulp then they will only do pulp capping or pulpotomy. Categorized it if its:Reversible pulpitis - pulp can still be saved through restoration + pulp capping or pulpotomy Irreversible pulpiRead more

    It is more advisable to categorized it immediately. For example, the Dr diagnosed the patient with caries into pulp then they will only do pulp capping or pulpotomy.

    Categorized it if its:
    Reversible pulpitis – pulp can still be saved through restoration + pulp capping or pulpotomy

    Irreversible pulpitis – pulp can no longer be saved, hence, subjected for complete removal of pulp(pulpectomy) + RCT or complete removal of tooth (extraction)

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  5. Asked: July 1, 2025In: Orthodontists

    CPT Code for 2 Palatal Miniscrew and Distal Jet Appliance

    Madel Nucum
    Best Answer
    Madel Nucum Professional Expert
    Added an answer on July 1, 2025 at 8:12 pm

    For Insurance: TADS 79951 For Cash: 72561 / 72562 Distal jet is space retainer, please follow codes 81211 / 81212

    For Insurance: TADS 79951
    For Cash: 72561 / 72562

    Distal jet is space retainer, please follow codes 81211 / 81212

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  6. Asked: July 1, 2025In: GP Dental

    Can we bill 33611 and 39201 together

    Madel Nucum
    Best Answer
    Madel Nucum Professional Expert
    Added an answer on July 1, 2025 at 7:56 pm

    Emergency Code and/or separate procedure codes cannot be billed together with another procedure on the same anatomical site.

    Emergency Code and/or separate procedure codes cannot be billed together with another procedure on the same anatomical site.

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  • jhonnmick
    jhonnmick added an answer If you’re looking to code for the removal of an… September 17, 2025 at 10:46 am
  • Madel Nucum
    Madel Nucum added an answer Based on the revised DOH Scope of Practice (Section 5.3.2.8… July 11, 2025 at 12:31 pm
  • Zahri Albaloushi
    Zahri Albaloushi added an answer If a procedure is eligible for the bilateral, Modifier 50… July 3, 2025 at 5:54 pm

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