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    If a patient comes in for an extraction and the tooth was extracted, but it was very close to the sinus floor and they had to be sent to an Oral surgeon for alveoplasty. It was explained to the patient that we would attempt the extraction, but this may be a possibility. The patient agreed. The tooth was extracted, but the alveoplasty had to be done by the Oral Surgeon. Can we bill the patient for the extraction?
    Admin August 2, 2017 5:29 am
    Yes, the extraction should be billed out by the facility/provider who performed the service.
    Staylor2964
    asked 8 years ago by
    Shannon Taylor
    1
    answer
    0
    How do you submit your CEU's on this does anyone know?!
    Admin May 25, 2017 1:29 pm
    CEU's are not required
    Admin
    asked 8 years ago by
    ADCA Admin
    2
    answers
    0
    Can you tell me what codes I would use for a D0330 and a D0150 to cross code to medical? Is there a good webinar to give me more information to learn to cross code?
    Enter your nickname February 10, 2025 6:37 am
    katana
    Admin
    asked 8 years ago by
    ADCA Admin
    1
    answer
    0
    Hi there, I would like to ask, what is the code to use for implant overdenture?
    Admin May 9, 2017 8:10 pm
    The code depends on specificity: Code series D6114-D6117 is for dental implant supported fixed (overdenture) Code series D6110-D6113 is for dental implant supported removable (overdenture) Your question needs more specificity to narrow down the correct code.
    Admin
    asked 8 years ago by
    ADCA Admin
    1
    answer
    0
    I don't this is allowed but I had to asked, because I can't find any guidelines regarding signatures for dental charting. Can a DDS chart and sign off a dental for another DDS (locum) that has left and is no longer with the dental office? ( this DDS did not chart a note at TOS). Where would be the best place to get information on dental guidelines, if there are any. A quick response would be very helpful. thanks.
    Admin May 4, 2017 9:22 am
    What I believe you are asking is can a dentist document in the patients chart for another dentist? The answer is simply NO the dentist who provided the service must document . The only time another dentist may provide the documentation is if he/she was present at the time of procedure or examination and aided (more)
    ryazzie
    asked 8 years ago by
    Rena Yazzie
    1
    answer
    0
    Our practice does a lot of full mouth fluoride varnish applications for high risk patients every 3 months. We have been trying to get this pre-authorized by our state Medicaid. We have to prove it is medically necessary. Their description of medical necessity is vague. Can you give us some examples you have found that works in this case. Most of these patients are very young and we cannot get x-rays on them.
    Admin April 26, 2017 8:39 am
    The following article will aide you in determining how to assign medical necessity for patients you believe to be high risk. Please click on the link or copy and paste into your browser: https://www.aapd.org/globalassets/media/policies_guidelines/bp_cariesriskassessment.pdf
    Staylor2964
    asked 8 years ago by
    Shannon Taylor
    1
    answer
    0
    i purchased the billing and coding ebook and did not receive it can someone please contact me regarding this matter
    Admin April 21, 2017 9:55 am
    Please send an email to support@adcaonline.org to resolve this matter immediately.
    Admin
    asked 8 years ago by
    ADCA Admin
    1
    answer
    0
    If we extract a root tip that was left behind by another provider, how would we bill for that? It is a permanent tooth. I know we would use D7111 for primary teeth, but I cannot find a code for that with permanent teeth. D7250 does not apply in our case because the procedure was not surgical. Is D7140 appropriate and if not what is the best code to use?
    Admin March 16, 2017 11:22 am
    Root tip removal should be coded using D7250 removal of residual tooth roots.
    Staylor2964
    asked 8 years ago by
    Shannon Taylor
    1
    answer
    0
    73 yo with squamous carcinoma of the supraglottic larynx ICD10 (C32.1), she will be receiving radiation therapy to the head and neck. We have a letter from radiation oncologist requesting extractions of her decayed and terminal dentition. This requirement is directly related to a medical diagnosis. We want to submit the claim to Medicare. What information do we need to submit? We submit claims electronically, please give ICD 10 diagnosis code and CPT procedure codes to use. Can we use dental codes on Medicare claim form?
    Admin March 2, 2017 9:07 am
    You should use the standard medical form CMS-1500 when submitting any claim to Medicare. The code used should be 41899 for the extractions accompanied with the correct ICD-10-CM code. It would also be beneficial to send in the request from the oncologist requesting the extractions. Make sure you write in box 19 of the CMS (more)
    Admin
    asked 8 years ago by
    ADCA Admin
    1
    answer
    0
    We have several providers w/ the same question about the following: if a patient has to have LL and LR SRP's, but the uppers were ok ( or vice versa) ... do i charge a prophy if i clean the top only or should a prophy be billed out only when it applies to the entire mouth?
    Admin February 4, 2017 1:06 pm
    A prophy should not be billed out on the same day as scaling and root planing. The SRP should be preformed and a week or two later the patient should return for a prophy.
    Admin
    asked 9 years ago by
    ADCA Admin
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