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posted October 6, 2011 6:24 am in reply to My PT wants a set of upper and lower partial dentures. I'm using codes D5213 and D5214. The CDT book says these codes should include "any CONVENTIONAL clasps." My PT needs a special type of clasp, in addition to the standard clasps, called a flexi clasp which will incur higher lab fees for our office. Is there a code for additional, non-conventional, clasps?

posted October 6, 2011 5:15 am in reply to Do you have a sample of an appeal letter for a denial for treatment that had been given prior-authorization?

posted September 28, 2011 6:53 am in reply to If single bitewing was taking, can it be charge out as a PA?

posted September 22, 2011 10:05 am in reply to Oral Surgeon pulled wisdom teeth. Patient came back to our office for follow up and make sure TE sites ok. What code should i use for visit?

posted September 22, 2011 8:11 am in reply to We are having trouble getting our pano(D0330) and bite wing(D0272 or D0274)paid when they are performed on the same day of service. If we took Pano, BWs and additional PA's can we code as FMX? Is there any other way of coding these services in order to receive payment? Thanks

posted September 21, 2011 1:10 pm in reply to My PT is getting a conventional overdenture. In order to prepare the remaining natural tooth structure to rest under the denture, the doctor must file away the natural tooth crown so only the tooth root remains. Then he must cap the root with composite material. He called the procedure a "root cap." What are the proper CDT codes to use for insurance billing purposes?

posted September 21, 2011 12:49 pm in reply to My patient wants a full denture. The patient wants to keep just one tooth root and remove the tooth crown. Should I code the denture as an overdenture? The dr. needs to file down the crown so only the root is left. He then plans to place a layer of composite over the top of the tooth. How should I code these procedures?

posted September 21, 2011 9:17 am in reply to We refer patient to a Oral Surgeon, they pulled tooth out and put sutures. Patient came to our office to remove sutures. What code should we use? Since we did not pull his tooth but remove his sutures. Thank you

posted August 24, 2011 11:00 am in reply to We are having trouble getting our pano D0330 and bite wing D0272 and D0274 paid when they are performed on the same day of service. Is there any other way of coding these services in order to receive payment? Thanks

posted August 17, 2011 8:26 pm in reply to We use code D9230 for Nitrous Inhalation, can we also use D9248 for Halcion administration or would it be better to use D9920 Behavior modification w/ a narrative for a patient that has high anxiety before and during a dental procedure?