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Ask the Coder (415)

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Question
1
answer
37
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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 10 years ago by
ADCA Admin
1
answer
494
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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 10 years ago by
ADCA Admin
1
answer
58
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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 10 years ago by
ADCA Admin
1
answer
105
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0
What would the cross code be for D0220 and D0230. Do you have any suggested diagnosis codes?
Admin November 3, 2015 8:15 am
70300 times the number of radiographs
Admin
asked 10 years ago by
ADCA Admin
1
answer
39
views
0
Effective October 1, 2015 what version claim form do we use for claim submission? Do we need to submit with ICD-10 codes? I recently received a call from a local pharmacy stating we need to submit ICD-10 codes on the prescription as well. Please advise at the soonest. Thank you!
Admin October 5, 2015 10:56 pm
You should be using the ADA2012 claim form. Yes, you will need to append ICD-10-CM codes to each and every claim.
Admin
asked 10 years ago by
ADCA Admin
1
answer
628
views
0
Is there a time limit on D9230 Nitrous Oxide? How often can it be billed on a single 2 hour visit. Thank you!
Admin October 2, 2015 3:37 pm
D9230 is billed out once as a single code per visit, it does not have a time limit.
Admin
asked 10 years ago by
ADCA Admin
1
answer
316
views
0
Can I bill a D9110 on the same DOS as D0150 & D0210?
Admin September 5, 2015 2:47 pm
According to Delta Dental utilization review guidelines it is not appropriate to bill out an emergency palliative and a dental exam in the same visit.
Admin
asked 10 years ago by
ADCA Admin
1
answer
719
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0
We are reducing the ridge on the mandible for a patient before we place a future implant. We would normally use the D7950 code when doing a ridge augmentation; however, the current CDT code book lists the code D7950 as a procedure for ridge augmentation or reconstruction TO INCREASE THE HEIGHT. And we will be reducing the height. Is there a better code we should be using?? Thank you
Admin September 5, 2015 9:00 am
Since you are performing a ridge augmentation where you are reducing the ridge instead of increasing the ridge a more appropriate code would be D7999. Submit with a brief explanation in the remarks area of the ADA 2012 claim form and use the appropriate ICD-10-CM code as explanation.
Admin
asked 10 years ago by
ADCA Admin
1
answer
107
views
0
Is there a medical cross over code for Perio Scaling and Root Planing? D4341
Admin August 30, 2015 9:36 am
No there is no cross code for this procedure as it is not covered by medical carriers.
Admin
asked 10 years ago by
ADCA Admin
1
answer
1078
views
0
How would I code for adjustments on 3 teeth that have large amalgam overhangs to remove - the teeth were filled in a different office.
Admin August 6, 2015 7:32 am
The most appropriate code would be D2999 and submit a brief narrative in the remarks box as to what is being done and why.
Admin
asked 10 years ago by
ADCA Admin
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