can insurance companies create their own billing for FMX? the CDT books says usually consist of 14-22 PA’s and BW’s but I’m being told by the dental biller that some insurances want the FMX code when less than 14 x rays are done. I would like clarification if this is ever appropriate to do. thanks.
Coding guidelines state 14-22 periapical films including bitewings must be present however, some insurance companies are paying out an FMX when a pano and bitewings are taken. The best course of action is to appeal the claim stating 14-22 films were not present at this visit.
American Dental Coders Association
3120 W Carefree Hwy. Suite 1
Phoenix, AZ. 85086