Admin – Answers

July 1, 2025 by Admin

Votes	Status	Answer
0 votes	approved	According to insurance guidelines the plan that has been in effect the longest would be the primary ... posted November 12, 2013 9:32 am in reply to I have a patient that is 24 years old and has his fathers insurance until age 26. He is now married and his wife has insurance. Does her (wife) insurance become primary and fathers is now secondary? or now that he has his wife's insurance does that mean he can't have fathers insurance anymore?
0 votes	approved	If they are new to the practice 99203, if the patient is established 99213. Please note the document... posted November 5, 2013 7:35 pm in reply to What Level E/M code do I need to bill for Dental code D9310 when the patient is being evaluated for the surgical extraction of wisdom teeth?
0 votes	approved	Yes, Diagnosis codes come from current year ICD-9-CM volumes 1 & 2 for Physicians.... posted November 2, 2013 2:51 pm in reply to On the CMS-1500 section 24-E (Diagnosis Code) do these codes come from the ICD-9-CM book? Thank you :)
0 votes	approved	HCPCS code for versed is J2250.It is placed in boc 24D of the CMS-1500 form.... posted November 2, 2013 2:50 pm in reply to The sedation medication we use is: Versed What is the appropriate HCPCS? Where do I list that on the CMS 1500 form?In response to question 'I recently posted a question regarding a medical claim and this was part of the response: "For the D9248 you will need to list the drugs used and their appropriate HCPCS code." "HCPCS stands for Healthcare Common Procedural Coding System and is published by the American Medical Association (AMA). This book lists drug codes, durable medical equipment codes, outpatient services, and more. You may purchase the book from any company that sells coding manuals. If you would like the specific HCPCS codes please list what drugs you are using for the D9248 (i.e. The HCPCS code for demerol is J2175).Thank you.
0 votes	approved	For a child under 3 years of age you should use D0145, for children over the age of 3 you should use... posted November 2, 2013 2:38 pm in reply to I work at a Pediatric Dental office. We get a lot of referrals for specific treatment and would like to know the best code for a "consultation visit?" What options are there?
1 vote	approved	No, D0150 and D0180 may not be coded in the same visit.No, a hygienist may not code D0180 or any o... posted November 1, 2013 10:43 am in reply to Can D0150 & D0180 be done on the same visit? and can D0180 be done by a Hygienist or does it need to be done by the Doctor?
0 votes	approved	The most appropriate code would be D7971 (excision of pericornal gingiva)... posted October 29, 2013 10:48 am in reply to I had a patient come in with pain on tooth #31, tissue was overgrown on occlusal surface so he trimmed it back with laser. What code could i use for this?
0 votes	approved	The correct ICD-9-CM code for tobacco user, active smoker is 305.1... posted January 1, 1970 12:00 am in reply to What is the correct ICD-9-CM code for tobacco user, active smoker? (? 305.1 or V15.82)
0 votes	approved	Usually dental carriers will only allow flouride varnish to be paid to a dentist. However, we have s... posted September 25, 2013 2:31 pm in reply to Can medical personnel bill out for fluoride varnish?
0 votes	approved	There is no medical code for D1206 (topical application of fluoride varnish) or D1208 (topical appli... posted September 25, 2013 2:05 pm in reply to What are the corresponding CPT medical codes for: D1206 and D1208 and D0145?Thank you

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