This is a response I received that may help with this question. Kathy Brouch, RHIA, CCS Practice Manager Coding Products and Services American Health Information Management Association 233 N. Michigan Ave., Suite 2150 Chicago, IL 60601 Telephone: (312) 233-1520 Fax: (217) 525-2899 e-mail: [EMAIL PROTECTED]
-----Original Message----- From: AskHIPAA AskHIPAA [mailto:[EMAIL PROTECTED] Sent: Wednesday, September 18, 2002 8:51 AM To: [EMAIL PROTECTED] Subject: Re: Code on Dental Procedures Kathy - "Dental" services are a subset of "health care." A dentist is a "health care provider" - on of the three types of "covered entities" under he law. We do not have a regulatory definition of "dental services" just as we don't have one for "physicians' services," etc. If someone other than a dentist performs dental services and wants to send a claim to a health plan, that person would use the 837 Dental Claim. There's no HIPAA requirement that the provider who submits an 837 Dental be a dentist, but a health plan may have such a requirement. The Code on Dental Procedures is the code set to be used on the 837 Dental Claim. If a dentist performs jaw surgery or some other procedure for which no Dental Procedure code exists, the dentist or other practitioner would use a CPT code and submit an 837 Professional Claim, not a Dental Claim. I hope that this answers your questions. >>> Kathy Brouch <[EMAIL PROTECTED]> 08/07/02 03:42PM >>> According to the final rule, the Code on Dental Procedures and Nomenclature is the standard medical code set for dental services. What is the definition of dental services? Does this standard apply only to dentists? Is this code set only to be used on ASC X12N 837, Health Care Claim Dental Kathy Brouch, RHIA, CCS Practice Manager Coding Products and Services AHIMA 233 N. Michigan, Suite 2150 Chicago, IL 60601 E-mail: [EMAIL PROTECTED] Phone: (312) 233-1170 Fax: (312) 233-1470 Be sure to visit "Communities of Practice" -- AHIMA's newest member benefit! See www.ahima.org. --- The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. These listservs should not be used for commercial marketing purposes or discussion of specific vendor products and services. They also are not intended to be used as a forum for personal disagreements or unprofessional communication at any time. You are currently subscribed to wedi-transactions as: [EMAIL PROTECTED] To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org
