What is Dental Code D9110?
Dental Code D9110 is for palliative care (minor procedures) on emergency visits. However, many dentists use code D0140 for these procedures. The problem with using D0140 is that is an emergency exam code which goes against your patient's allowable exam benefits for the year. If a patient comes in for an emergency visit with tooth pain 3 months after their 6-month routine visit, insurance is likely to deny you. So, now you have denied insurance claim and and you're left either writing off or trying to collect the entire payment from the patient which is frustrating for everyone. This is why it's important to have a practice policy in place for the moments when patient emergencies occur. Using code D9110 will get you more favorable outcomes with insurance because it is the proper code to use when performing non-definitive procedures and won't get mixed up with the limitations of D0140.
You can't use D9110 in conjunction with definitive procedures because that procedure already has a code. Use this code on emergency visits when you're most likely performing one of the following palliative procedures, according to Dr. Charles Blair & Associates, Inc.:
- Smooth sharp corner of tooth
- Adjust occlusion for pain relief
- Remove decay, IRM placed
- Desensitize tooth
- Open tooth (partial debridement) or lance abscess for pain relief
- Partial heavy calculus debridement (only with patient complaint of discomfort)
- Aphthous ulcer relief
- D9110.1 - Palliative 1 Unit (10min)
- D9110.2 - Palliative 2 Units (20min)
- D9110.3 - Palliative 3 Units (30min)
What is Dental Code D9911?
- No hypersensitivity for up to two years
- Biocompatible ORMOCER matrix – no glutaraldehyde
- Significant reduction of stimulus transfer through intensive deep sealing of exposed root dentin
- High wear resistance through special nano filler technology
- High bond strength
Using both dental codes D9110 and D9911 will help increase reimbursements, providing relief to your patients. Both codes can increase your bottom line and help you reach your goals for the year with minimal changes. With D9110, you are potentially doing palliative procedures on emergency visits. In those instances, you just aren't getting reimbursed because of unknown codes available to you. One simple fix gives you a whole new revenue stream for work you're already doing! How easy is that? Then, just adding in the procedure of dealing with tooth sensitivity, with a solution that you can do immediately, adds a great service with minimal effort. These are just a couple of coding tips to help you reach your goals. What other coding corrections have you discovered that have saved or have earned you income? Let us know in the comments below!