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Question
Lee W June 29, 2022 1:53 pm
The doctor used D9911 and my insurance Cigna doesn't cover, I've to pay $1000. I was even not aware that insurance doesn't cover it. I'm wondering if the doctor can use D9910 instead which is covered by insurance.
asked 12 years ago by
Admin March 17, 2011 4:32 pm
asked 15 years ago by
asw0929 May 4, 2022 8:18 am
Since they are a requirement by some insurance companies on the CMS-1500 form I would say that it is also a good idea to enter them on the UB-04 form, but I cannot find documentation that states that it's a requirement. You might want to check with the insurance carrier to be sure.
asked 3 years ago by
General dentist coded D0140 for tooth pain. Recommended RCT and got RCT at endodontist through referral. Endodontist coded D0140 again. Went back to general dentist for filling of crown. Got billed with D0140 again. Does this look correct to keep bil...
Admin December 22, 2022 8:04 pm
The D0140 should only have been sent by the GP, If it was certain the patient needed to RCT. The endo coding for it is not neccassary unless they had to diagnosis if the patient really needed a RCT. But the GP sending the D0140 again at the crown appointment is absolutely unnecessary. Most insurances (more)
asked 2 years ago by
Admin February 12, 2011 9:07 am
The most appropriate CPT code is the unlisted code 21089, this code requires a narriative to accompany the claim.
asked 15 years ago by
Admin May 26, 2010 8:24 am
You may use either D0120 or D0180, you will need to check with your carrier for specific guidelines.
asked 16 years ago by
Admin August 9, 2013 11:52 am
If the dental carrier is requesting you to bill medical first then you are to bill medical first.
asked 12 years ago by
The hygienist doesn't want to take all 7 images because patient doesn't have enough teeth to justify taking the full 7 VBWX. Is there a way to bill just four images?
asw0929 May 15, 2022 7:57 pm
D0274 - bitewings - four radiographic images The vertical bitewing positioning allows an image of up to two molars to be taken, showing part of the periodontal ligaments. The horizontal bitewing positioning allows up to three molars to be viewed with one image. Report D0270 for a single film bitewing, D0272 for two bitewing films, (more)
asked 3 years ago by
Anonymous
Can you enter two separate restoration codes on the same day for the same tooth or is it correct to bill as a two surface restoration even though the restorations are not touching. For instance tooth #30 has occlusal but also separate buccal.
asw0929 August 18, 2022 6:57 pm
If the fillings touch then it’s one two surface filling. If they don’t touch/aren’t connected then it’s two one surface fillings. Insurance will typically downgrade it and pay based on a two surface, but you have to always bill what you do.
asked 3 years ago by
Should we bill 20240 superficial or 20245 deep for biopsy . I feel the codes our providers are selecting is incorrect they are picking 20245 (deep)
asw0929 May 18, 2022 7:18 pm
More specifically where is your biopsy? Most likely, if you are coding dental, you are going to use 20240 (superficial), but I would hate to say without hearing specifically where this biopsy is taking place. 20240: The physician performs an open biopsy on bone to confirm a suspected growth, disease, or infection. With the patient (more)
asked 3 years ago by
