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Question
I've never submitted to medical and don't have claim forms
asw0929 April 14, 2022 2:42 pm
In order to bill medical insurance, you would need to contract/use an online company to bill medically or purchase a stack of CMS-1500 forms and complete the forms in your office to send to the insurance company. You would also need to be sure that you have a CPT code book and ICD-10-CM code book (more)
asked 3 years ago by
DD9951 is not for post care work of a crown.
asw0929 May 15, 2022 8:15 pm
D2980 crown repair necessitated by restorative material failure A repair to a crown because the material used to make the crown cracked, chipped or broke.
asked 3 years ago by
asw0929 May 16, 2022 7:33 pm
I would not send a narrative for this procedure, but the very detailed clinical documentation stating the necessity of the procedure. Unless the patient has implant coverage with their insurance carrier, in most cases the procedure is likely to be denied. Therefore, indicating the need to send as much documentation as possible IF the procedure (more)
asked 3 years ago by
What would the code be for toothbrush deplaquing
asw0929 May 15, 2022 8:05 pm
There is not a separate code for toothbrush deplaquing. This service would be included in the prophy code, either D1110 (adult) or D1120 (child).
asked 3 years ago by
Does this code require tooth numbers to be reported?
maryanna1964 February 23, 2022 2:09 pm
Yes it does because they are putting in a bridge or bridgework.
asked 3 years ago by
Does anyone have any documentation for appealing the D7921?
asw0929 May 16, 2022 7:41 pm
Did you submit the medical records for the necessity of the procedure? Be honest and open in your documentation - send medical records indicating the necessity of the procedure and a diagnosis to support what was done. You may want to also include a detailed letter that is descriptive of the necessity along with the (more)
asked 3 years ago by
Anonymous
Staylor2964 January 21, 2022 8:50 am
D1206 Fluoride Varnish can be appropriate for any person no matter their age. That being said, most insurances will not pay for adults to have D1206. It is best to communicate to the patient they will likely be responsible for the cost of the D1206. There would be two reasons to apply D1206 to a (more)
asked 3 years ago by
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
