Answers
Question
A patient presented with chief complaint of pain on a single tooth. I evaluated the tooth and took an xray/PA. I did not do any treatment that day. Was I correct to use D0140 and D0220 for the appointment? Or should I have used D9110?
RCM Expert November 16, 2022 11:20 am
D9110 is for an emergency palliative treatment. D0140 is to exam a problem focused area. Usually D9110 is for a same day emergency appt and you may only exam, take an X-ray, prescribe Rx or an open and drain to alleviate immediate pain. If this was an appt set up a week or days in (more)
asked 3 years ago by
If a dentist sees a red or white lesion during a 150 exam and wants to re evaluate the pt in 2 weeks, is she/he allowed to use D0170 code? Will the insurance deny it? Thank you so much!
Zienab.k.elmalik January 23, 2022 9:57 am
Yes
asked 3 years ago by
I completed 4 quads of SRP and 4 weeks later the patient came back in for the re-eval appointment. Do I use D4910 or D0171. I spot probed, scaled residual calculus, polished, flossed, and applied fluoride varnish. Also I placed Arestin on two pockets...
asw0929 May 18, 2022 11:14 am
Since the patient had 4 quads of SRP, the patient is a PM at that point. Just as an FYI, the first PM appointment is usually 90 days post SRP. So, for example, Delta is denying our D4910's within 90 days of SRP. This is a WRITE OFF. Not billable. Since it was NOT past (more)
asked 3 years ago by
PT CAME IN THIS MORNING HAD TOOTH #8 EXTRACTED WITH D9222 AND D9223 PT RETURNED THIS AFTERNOON AND HAD TOOTH #9 EXTRACTED WITH D9222 AND D9223 CAN I SUBMIT 2 SEPARATE CLAIMS TO INSURANCE WITH EACH HAVING D9222 LISTED?
asw0929 May 16, 2022 7:38 pm
It is very likely that the insurance is going to deny the second D9222 and D9223. I would submit medical records indicating the need for general anesthesia the second time (twice in a day). This is a rare occurrence, and it's likely that it will be denied as you already had the patient sedated once (more)
asked 3 years ago by
Anonymous
We did a sinus lift on the UR and UL. Can I only bill the 7951 once or can I bill it for the UR and again for the UL?
asw0929 May 15, 2022 8:11 pm
This can be reported twice if both upper quadrants are augmented. I would recommend sending documentation to support both the UL and UR quadrants so there is no question as to overbilling the procedure. See Coding Companion 2022, Clinical Coding Scenario #3 on page 215 for verification. This procedure is performed to increase the alveolar (more)
asked 3 years ago by
asw0929 May 15, 2022 8:19 pm
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
asked 3 years ago by
cdt for antibiotic prophylaxis
Enter your nickname February 10, 2025 6:37 am
katana
asked 3 years ago by
We are FQHC. One of our patient's needed clearance for an organ transplant. They originally saw a medical provider. That provider sent a request to our dentist asking for them to evaluate the patient to be cleared for the transplant. The patient made...
asw0929 May 18, 2022 11:24 am
I agree. D9310 would be the correct code for this service. D9310 consultation - diagnostic service provided by dentist or physician other than requesting dentist or physician; A patient encounter with a practitioner whose opinion or advice regarding evaluation and/or management of a specific problem; may be requested by another practitioner or appropriate source. The (more)
asked 3 years ago by
Which is the most appropriate code when using Gluma as a desensitizer, D9910 or D9911? Is Gluma considered a resign or only a desensitizer?
Admin November 9, 2021 9:45 am
D1206 Topical application of fluoride varnish D9910 Application of desensitizing medicament D9911 Application of desensitizing resin for cervical and/or root surface, per tooth hope this helps
asked 3 years ago by
I have to submit to submit a section of bridge to Medical. Is there a CPT code?
Admin November 2, 2021 9:10 am
Hi, Which are you submitting? The missing tooth or the crowns?
asked 3 years ago by
