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Can you down code 4 pa’s for a pano?

November 21, 2025 by Anonymous

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  • Can you down code 4 pa's for a pano?

Can you down code 4 pa’s for a pano?

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if a patient needs an updated pano for 3rd molar removal. Can you down code this for 4 pa’s?

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Posted by craxy biller
Asked on November 21, 2025 10:21 am
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Experience working for insurance company,,panoramic X-ray will not be covered if max has been met. Doesn’t matter how you add ,,, if that’s in the system it’s not payable
(Anonymous at November 21, 2025 4:37 pm)
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    The answer is No. If the patient's insurance doesn't cover a pano, then charge it to the patient. If you were going to get $70 from ins., charge $70 to patient. That way you get your pano paid and patient doesn't rejects treatment because you change $300 for a pano image.

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    Posted by Anonymous
    Answered on November 21, 2025 11:59 pm
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      Hi! To ensure accuracy, the office needs to bill out for exactly what was done on the DOS- for example, if a D0330 was completed, a D0330 needs to be billed out. If D0220 and 3 D0230s were completed, those are the codes that should be billed out. Some insurances will only pay the max allowed amount of a D0210 if D0330 and bwx or PA's are billed in conjunction (ex: max allowable for D0210 is $75, provider bills D0330 and D0274, the max insurance will pay is $75 total for both, however they divide up that payment). Please let us know if further clarification is required.

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      Posted by Austinida
      Answered on November 21, 2025 11:13 am
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