Admin – Answers

posted July 26, 2014 1:37 pm in reply to Is it common to bill a patient as D1110 after D4341 and D4910? I read the previous posting related to this topic, but I'm looking for an answer regarding D1110. Our new hygienist has recently seen a patient who has had D4341 and many subsequent D4910's, and charted the visit as D1110. Her notes state that the patient has deep pockets and heavy generalized plaque and stain. I was taught once a perio patient always a perio patient. If this is not correct, please explain why and if the visit should be billed out as D1110. If not, then D4910? Thank you!

posted July 20, 2014 7:16 am in reply to Hello, How do I code when a doctor sections a bridge. Thank you.

posted July 18, 2014 11:00 am in reply to I work at an oral surgeons office. Patient is seen for the first time and we file visit D0120 and panorex D0330. DentaQuest/Tenncare says to write off the visit and the panorex. They are allowed on 1 every 6 months on the office visit. This is a specialist. Any ideals on how to change this? Am I coding wrong?

posted July 17, 2014 12:51 pm in reply to We are having issues with Delta dental accepting our Occeous surgery services. They don't like the D4260 because we use the FDA approved Periolase. We have tried D4999 by report and sending in the SRP, occlusal adjustment, follow up prophy and perio maint. They are not liking that either and are requesting that we adjust all but the SRP. Any suggestions?

posted January 1, 1970 12:00 am in reply to I used the wrong diagnosis code in a dental claim to Medicare. The medicare rep told me that I have to correct it when the claim is processed. Are there any circumstances? What will happen now? Thank you.

posted July 4, 2014 7:25 am in reply to A patient was scheduled for D4341, but the hygienist decided that the patient did not have enough deposits to be considered a true quads patient. It ended up taking two appointments to do the cleaning and perio charting and the hygienist still wants to bill out as a D1110. I have never seen a prophy take two appointments to complete before. My question to you is should this remain a D1110 or should it be billed out as D4341 twice for left & right Quads? If no for both, what should it be billed out as? Thank you!

posted June 28, 2014 3:39 am in reply to Is the correct code to recement a 3 unit bridge D6930?

posted June 25, 2014 12:49 pm in reply to A patient was scheduled for treatment with a general dentist but a referral was given instead to a pediatric dentist for sedation. OHC and diet were discussed during the office visit, but the notes do not indicate any procedures being completed or attempted. Would this be a correct usage of D9310? Or should another code be used instead? Thank you.

posted June 24, 2014 1:32 pm in reply to I have run across a claim with only D0460 being billed. The patient was seen for a tooth ache with sensitivity to hot food/liquids. The chart notes state that the soft tissue exam showed tissue was WNL. My question is should I be billing for an exam such as D0140 and consider the D0460 as part of the exam? Or do I bill for both D0140 and D0460 since an exam must have occurred? Or is there something else I should be doing? Thank you for your help.

posted June 18, 2014 11:39 am in reply to I wanted to know if you have a location where you share what documentation requirements are needed to support the billing of all new CDT 2014 codes. For example D0601-D0603?