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Ask the Coder (423)

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Question
1
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74
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PANO D0330 is taken for denture procedures. And no teeth exist. Could the code still claim out?
Admin March 2, 2016 11:25 pm
Yes, a panoramic film may be billed when no teeth exist.
Admin
asked 10 years ago by
ADCA Admin
1
answer
58
views
0
I was advised that our dental hygienist cannot diagnose a patient but in ICD10, if a patient comes in for a prophy, should they use the two following diagnosis? If so, if the abnormal dental cleaning is used, the hygienist would have to add the abnormal diagnosis. At this point, does the dental provider have to add an addendum stating the abnormality? What is required?Dental cleaning Z01.20 Dental cleaning with abnormal finding Z01.21
Admin February 17, 2016 10:58 am
If abnormal findings exist the provider must add to the documentation agreeing to the findings.
Admin
asked 10 years ago by
ADCA Admin
1
answer
43
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0
Is the CDC certification exam using ICD10 or ICd9?
Admin February 2, 2016 12:09 pm
The CDC exam uses ICD-10-CM code sets
Admin
asked 10 years ago by
ADCA Admin
1
answer
60
views
0
Where can I find information regarding how we charge out the insurance companies, if we were running a $78.00 special for Comp Exam, FMX, Prophy? I need to find out if I should be writing off the balance on the accounts, IF insurance pays @ least the $78.00. We are in Louisiana - Jefferson Parish.
Admin January 25, 2016 5:12 pm
What you do for one you must do for all...it is best to check with each individual carrier as to your contractual obligation prior to running any kind of specials.
Admin
asked 11 years ago by
ADCA Admin
1
answer
219
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0
Can you bill for a 4342 for tooth #3 and 4341 of the upper right quad on the same day?
Admin January 7, 2016 2:43 pm
This question is very vague, if you are performing a periodontal scaling and root planning the appropriate code will depend on how many teeth exist in the quadrant. If there are four or more teeth in the upper right quadrant you will bill D4341 if there are one to three teeth in the upper right (more)
Admin
asked 11 years ago by
ADCA Admin
1
answer
78
views
0
When is the correct time to bill for a pfm crown, at the prep apt or the seating?
Admin January 6, 2016 12:53 pm
It varies upon carrier, the consensus is this should be billed on the seat date.
Admin
asked 11 years ago by
ADCA Admin
1
answer
84
views
0
Now that ICD10 has been implemented. I have a question about who is allowed to assign diagnosis codes, specifically hygienists are they allowed to assign diagnosis codes?
Admin December 23, 2015 4:11 pm
The ruling from CMS is any provider whose scope of practice permits may assign a diagnosis code, (DDS, DMD, MD, Resident) it does not specifically state as to Hygiene. The common consensus is a hygienist may assign a diagnosis code however, it must be approved/reviewed by the attending/supervising provider.
Admin
asked 11 years ago by
ADCA Admin
1
answer
38
views
0
should you bill medical insurance if a patient was referred to dental office for clearance before a medical procedure.
Admin December 9, 2015 6:14 am
Yes
Admin
asked 11 years ago by
ADCA Admin
1
answer
512
views
0
We have recently learned about the Dr. Chao Pinhole Technique Perio treatment and was curious if you knew which CDT code is best suited for insurance billing. Thank you in advance for your assistance.
Admin November 10, 2015 4:56 pm
This is a new procedure and none of the current CDT codes are compatible, therefore, the most appropriate code at this time is D4999. In the remarks area of the ADA2012 claim form you need to put "Chao Pinhole Technique performed."
Admin
asked 11 years ago by
ADCA Admin
1
answer
58
views
0
I received my certification for CDC. Does this include being certified biller? Please let me know thanks so very much. Valorie T.
Admin November 7, 2015 12:47 pm
No the CDC and CDBS exams are two different credentials. The Certified Dental Billing Specialist (CDBS) exam is for billers and covers aspects of billing. While the Certified Dental Coder (CDC) exam is more elite and covers code assignment and proper documentation.
Admin
asked 11 years ago by
ADCA Admin
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