I work at an oral surgeons office. Patient is seen for the first time and we file visit D0120 and panorex D0330. DentaQuest/Tenncare says to write off the visit and the panorex. They are allowed on 1 every 6 months on the office visit. This is a specialist. Any ideals on how to change this? Am I coding wrong?

  • Ask the Coder
  • I work at an oral surgeons office. Patient is seen for the first time and we file visit D0120 and panorex D0330. DentaQuest/Tenncare says to write off the visit and the panorex. They are allowed on 1 every 6 months on the office visit. This is a specialist. Any ideals on how to change this? Am I coding wrong?

I work at an oral surgeons office. Patient is seen for the first time and we file visit D0120 and panorex D0330. DentaQuest/Tenncare says to write off the visit and the panorex. They are allowed on 1 every 6 months on the office visit. This is a specialist. Any ideals on how to change this? Am I coding wrong?

Answer Question
0
Marked as spam
Asked on July 17, 2014
10 views
Add comment

Answers (1)

Private answer

You are coding this incorrectly:

The office visit depending on the documentation noted in the chart should be D0140 or D0160, as this is either a limited oral evaluation focusing on one specific problem or a detailed exam focusing on one problem, however, the patient may have physical limitations or on medications that require a more expansive exam. An Oral Surgeon should never code a D0120 as this is considered a periodic oral evaluation for preventative purposes.

As for the panoramic film D0330 this should be covered when and appropriate exam code is listed.

Marked as spam
Answered on July 18, 2014
Add comment

Post your Answer

Attach YouTube/Vimeo clip putting the URL in brackets: [https://youtu.be/Zkdf3kaso]