Admin – Answers

posted November 12, 2014 9:09 pm in reply to I currently contract with an office that recently filed a claim for procedure code D4211 gingivectomy. Delta Dental denied claim because gums had SRP'S done earlier this year. I saw that gingivectomy has other codes assoicated with it one being D4212 which I think is coded when procedure is done to remove gum tissue for a restoration. Do you think they can use that code or was the correct code used since they had perio treatment done earlier this year?

posted November 6, 2014 9:50 am in reply to Hi, we billed a D2394 for #28 for surfaces MODB and claim was denied for invalid surfaces. The CDT does not specify what surfaces are billable with this code. Is there a way to know which surfaces are valid for D2394?

posted November 4, 2014 12:32 pm in reply to I work in a multi provider office. If one of our dentists refers to another dentist inside our organization for treatment such as a crown or Root canal treatment and a consultation is necessary to determine if the dentist can perform the treatment, what code do I use? This would mean that the dentist that is possible agreeing to perform the treatment wishes to clinically exam the area before scheduling the treatment. Does a code exist for this type of exam?

posted November 4, 2014 12:27 pm in reply to If a patient was present in our office for a problem focused exam D0140 and it is diagnosed that they have infection and need to return for an extraction or have a RCT performed in another office. They had not done either treatment and returned one month later with infection again with pain in the same tooth. What code should be used for the second visit? No treatment was able to be performed on either visit due to extensive infection and the need for antibiotic treatment prior to extraction or RCT.

posted November 4, 2014 12:24 pm in reply to What would be the correct code for a first time patient under the age of three? I think it is D0145, but unsure if D0150 is an option? This would be the first exam in our office and the patient is not in pain.

posted October 30, 2014 11:31 am in reply to doctor does the following: two samples were procured with separate 2.0mm biopsy punches. A local was also used. Medical codes are 11100 and 11101 and transfer to D7286. Do I charge this code twice for each biopsy?

posted October 28, 2014 2:13 pm in reply to When billing for implants, do you include the abudment placement as part of D6010, or do you bill the abudment separately when it is placed D6057?

posted October 21, 2014 1:26 pm in reply to Is there a specific ADA code for a diagnostic wax up?

posted October 16, 2014 7:47 am in reply to Are there any good reference materials you could suggest for helping answer questions pertaining to billing of implants and abudments, bone grafting, materials used for bone grafting and implants?

posted October 16, 2014 7:45 am in reply to When billing for TMJ splints, can you bill them on the order date, or do you have to bill them when dispensed to the patient.