Ask the Coder (423)

What is the secondary changed their fees/policy? If 100 allowed, primary paid 80, then I would transfer the $20 to the secondary, let the secondary adjudicate then make my adjustments. I am not saying balance bill. The primary allowed 100, I would transfer up to that just like EOB says to secondary. You could be (more)

Need more information. One is a crown code and one is a space maintainer. You always bill for what you do so I’m not sure what you are asking?

D9630: drugs or medicaments dispensed in the office for home use; Includes, but is not limited to oral antibiotics, oral analgesics, and topical fluoride; does not include writing prescriptions.

You're stating that the insurance downcoded the procedure based upon the evidence of the perio chart? It would depend on if you are in network or out of network with the insurance company as to how they process the difference when they downcode the procedure. If you are in network, it's likely that they process (more)

Yes

No. A tooth number is not required for this code, as this service is not pertinent to a tooth. D7410 is the excision of a lesion from the inside of the mouth. The length of the lesion is required in order to select the code, however. D7410 excision of benign lesion up to 1.25 cm

katana

Yes, these codes may be used together.

D9310 should only be used on the initial examination where a referral was requested. If continued examinations are performed the appropriate code selection would be D0140.