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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?

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  • 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?

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Asked on July 17, 2014 11:00 am
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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.

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Answered on July 18, 2014 11:00 am
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