Admin – Answers

posted April 26, 2017 8:39 am in reply to Our practice does a lot of full mouth fluoride varnish applications for high risk patients every 3 months. We have been trying to get this pre-authorized by our state Medicaid. We have to prove it is medically necessary. Their description of medical necessity is vague. Can you give us some examples you have found that works in this case. Most of these patients are very young and we cannot get x-rays on them.

posted April 21, 2017 9:55 am in reply to i purchased the billing and coding ebook and did not receive it can someone please contact me regarding this matter

posted March 16, 2017 11:22 am in reply to If we extract a root tip that was left behind by another provider, how would we bill for that? It is a permanent tooth. I know we would use D7111 for primary teeth, but I cannot find a code for that with permanent teeth. D7250 does not apply in our case because the procedure was not surgical. Is D7140 appropriate and if not what is the best code to use?

posted March 2, 2017 9:07 am in reply to 73 yo with squamous carcinoma of the supraglottic larynx ICD10 (C32.1), she will be receiving radiation therapy to the head and neck. We have a letter from radiation oncologist requesting extractions of her decayed and terminal dentition. This requirement is directly related to a medical diagnosis. We want to submit the claim to Medicare. What information do we need to submit? We submit claims electronically, please give ICD 10 diagnosis code and CPT procedure codes to use. Can we use dental codes on Medicare claim form?

posted February 4, 2017 1:06 pm in reply to We have several providers w/ the same question about the following: if a patient has to have LL and LR SRP's, but the uppers were ok ( or vice versa) ... do i charge a prophy if i clean the top only or should a prophy be billed out only when it applies to the entire mouth?

posted February 1, 2017 2:30 pm in reply to WHat is the correct dental billing code for an intraoral scan.

posted February 1, 2017 2:29 pm in reply to IS d0363 a valid billing code. Thanks

posted January 31, 2017 3:09 pm in reply to Is there a code for wax try in?

posted January 27, 2017 8:44 am in reply to I'm really kind of new to dental billing and I am not quite sure what to send on a code that is by report. Are there any special rules when billing D7971 -excision of salivary gland, by report? Can you help me with this?

posted January 10, 2017 11:16 am in reply to we have questions about the new dental code of D9311 ( consult w/ medical health care professional). What kind of documentation is required in order to bill out this code for dental services ( amount of time spent w/ medical provider discussing the patient's medical history, etc.) and where should it be documented ( in patient's medical and dental chart)? Also, we have clinics that offer medical and dental services both in the same building and sometimes we have patients who are being seen for dental and their face is swollen so we have to send them over to the medical side of our facilities for a rocephin shot and was wondering if the D9311 code would be appropriate to use in those cases.