Ask the Coder (545)

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)

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)

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)

Virginia will pay for dentures for adults. It does have to be pre-authorized. Most of the time they are approved.

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

D5640

Yes, these codes may be used together.

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.

No, the dentist must be present and review the patients chart for D0120 to be billed.

D9930 - Dry socket