CSHCN 2009 > Dental > Benefits and Limitations

   
 

14.2.7.4 X-Ray and Laboratory Procedures

The following diagnostic X-ray and laboratory procedure codes are payable to a dentist physician:

Procedure Codes

70100

70110

70120

70130

70140

70150

70160

70170

70190

70200

70250

70260

70300

70310

70320

70328

70330

70332

70336

70350

70355

70370

70371

70380

70390

73100

76942

88305

88331

88332

The following additional CPT procedure codes are payable to a dentist enrolled in the CSHCN Services Program as a dentist physician:

Procedure Codes

90284

96369

96370

96372

96374

J0120

J0170

J0280

J0290

J0295

J0330

J0360

J0475

J0530

J0540

J0550

J0560

J0570

J0580

J0670

J0690

J0692

J0694

J0696

J0697

J0698

J0702

J0704

J0710

J0715

J0720

J0744

J0780

J0945

J1020

J1030

J1040

J1094

J1100

J1165

J1170

J1200

J1364

J1459

J1561

J1562

J1566

J1568

J1569

J1572

J1580

J1630

J1631

J1700

J1710

J1720

J1730

J1790

J1800

J1810

J1840

J1850

J1885

J1890

J1940

J1990

J2001

J2010

J2060

J2175

J2180

J2360

J2370

J2400

J2410

J2460

J2510

J2515

J2540

J2550

J2560

J2650

J2690

J2700

J2765

J2770

J2800

J2810

J2920

J2930

J3000

J3010

J3260

J3300

J3301

J3302

J3303

J3310

J3320

J3360

J3370

J3410

J3430

J3480

J3485

J3490

J3520

S0021

Procedure codes 90284, J1459, J1561, J1562, J1568, J1569, and J1572 will be denied if billed with the same date of service by any provider as the following procedure codes (unless otherwise indicated):

Procedure Codes

90284

J1459*

J1460

J1470

J1480

J1490

J1500

J1510

J1520

J1530

J1540

J1550

J1560

J1561*

J1562*

J1566

J1568*

J1569*

J1572*

J7504

J7511

*These procedure codes may be billed more than once per day but will not be reimbursed if billed in combination with any other procedure code in this table.


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