can we charge for a D0140 a day after patient seen for new patient exam D0150

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can we charge for a D0140 a day after patient seen for new patient exam D0150

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Pt seen to stablish care. Procedure code used D0150 the next day patient seen for a limited examination D0140 and extracted a tooth. I am curious if this will be considered over charging on exams, as pt just had a comprehensive exam the day before.

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Asked on October 13, 2023
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If these two had taken place weeks apart, I think it would be fine. Doing a comprehensive one day and a limited the next day, my question as an auditor was the extraction planned on the D0150 exam and scheduled for the next day? If so, the D0140 I would say is overcharging unless you can provide an arguement otherwise.

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Answered on October 25, 2023
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I agree with both answers with one additional comment. I think that a cursory exam is expected before any procedure and typically are not as involved as a D0140/D0150. In this case, I deem the exam part of the procedure. I don't ding my providers in their audit for a scenario such as this.

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Answered on October 23, 2023
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You can bill it with the extraction but I would only charge the the patient if they were not originally schedule for the extraction and they came in with pain, you diagnosed and realized an extraction. But if you realized at the initial visit an extraction was needed and scheduled them to come back the next day, no. Also, be mindful of the exam frequencies because some insurances limited exams share freq. with all other exams.

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Answered on October 14, 2023
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Depends on your office policy and whether your in or out of network provider. You can charge whatever you want. As long as it is consistent with all patients as to not discriminate. Most iin network do not allow for this

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Answered on October 14, 2023
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