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Patient presents for extraction of tooth #32. Dentist is able to remove coronal portion, but unable to remove roots. Also, surgical handpiece used to remove bone. Patient is coming back in 3-4 weeks to try and get roots removed. How should we code th...
kmoney October 25, 2021 1:50 pm
There is a not a CDT code to be used for an extraction of an erupted tooth, that is incomplete. In this case you would use the code D7999 for unspecified oral surgery procedure, by report”. If that code is set to $0.00 be sure to put a dollar amount. You would then bill that (more)
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We have patients that come into the hospital due to issue where they can’t have the restorative procedures done without anesthesia. My question is, under anesthesia, if provider performs radiographic images and bitewings, can it be coded with a resto...
kmoney October 25, 2021 1:57 pm
You can certainly charge out radiographs with restorations. You have to be mindful of the plan limitations set in place by the carrier. If a patient has had a full mouth series done within a specified time limit the bitewings and pa’s may not be covered because the patient has exceeded their limit. There are (more)
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Anonymous May 18, 2022 9:32 am
When you say "drugs" be more specific. Are you referring to other sedative medications? I cannot see why other medications would not be covered because moderation sedation was used. This may also be payer specific and/or plan specific. You might also want to document the reason for needing any additional medications (ie: patient was autistic (more)
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asw0929 May 18, 2022 11:37 am
Unfortunately, I can't exactly explain why a payor would request a tooth surface, but it may be a requirement of the plan for the code. This is probably given to be sure that duplicates are not billed. Also, they are typically subject to a 5–10-year limitation. There can be quite a few limitations to these (more)
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Staylor2964 January 21, 2022 2:27 pm
Virginia will pay for dentures for adults. It does have to be pre-authorized. Most of the time they are approved.
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iflores October 12, 2021 8:37 am
Thank you for your answers. I am still confused. Could I use code D5640 Replace broken teeth? even if the teeth are not broken? they are just worn out. please help clarify
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Pt has an existing partial denture which some teeth are really worn out and Dr. wants to replace them.
Zienab.k.elmalik October 11, 2021 4:11 pm
D5640
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Admin May 16, 2019 11:19 am
Yes, these codes may be used together.
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Admin May 16, 2019 8:49 am
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.
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Admin May 15, 2019 9:48 am
No, the dentist must be present and review the patients chart for D0120 to be billed.
