Admin – Answers

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.

posted January 6, 2017 1:59 pm in reply to Please explain the procedure difference for: 1.D9940 2.D7880 3. Can you bill for D0470 for the impressions separately. Thank you

posted January 4, 2017 8:45 pm in reply to I am new to dental coding and having a hard time deciphering exam code D0150 from D0140 for new patients. To provide an example, I had a patient who came to the oral surgeon on referral from her regular dentist to have her wisdom teeth removed. The oral surgeon notes in the history that her wisdom teeth are impacted but asymptomatic, that she has no allergies, her family history is non-contributory, and she's not a smoker. He then takes a panorex and looks at the gums and notes the impacted wisdom teeth and the absence of any malocclusion. He is not including a total perio chart in the record (though he's also indicated the presence of a malpositioned canine tooth). He doesn't mention the hard/soft palates or any soft tissue anomalies (not referencing looking at the tongue or the mucosa). So while he is looking around at a lot of structures in the mouth, not just at the wisdom teeth, he doesn't appear to me to be documenting the full extent of what is described by CDT code D0150, but at the same time, D0140 for a problem-focused exam seems like less than the work he is doing. In this particular example, would you recommend D0150 or D0140?