Ask the Coder (423)

70300 times the number of radiographs

No this is not sufficient documentation for a D0150. A comprehensive exam must have documentation in the chart showing oral cancer screening, recording of patients dental and medical history, a general health assessment. Evaluation of dental caries, missing or erupted teeth, restorations, perio condition. It is basically a full assessment of the patients physical and (more)

You should be using the ADA2012 claim form. Yes, you will need to append ICD-10-CM codes to each and every claim.

D9230 is billed out once as a single code per visit, it does not have a time limit.

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.

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.

No there is no cross code for this procedure as it is not covered by medical carriers.

The most appropriate code would be D2999 and submit a brief narrative in the remarks box as to what is being done and why.

You should be using ADA 2012 forms effective October 1, 2015.

You can, however, depending on the carrier this may not be covered if D5130 is not delivered on the same day.