Ask the Coder (539)

The problem here is fax back eligibility does not guarantee payment from the carrier it merely states to the best of their knowledge the patient is active and eligible for treatment under the plan. You may try to appeal this decision by refiling the claim and sending in fax back proof of eligibility at time (more)

Medical cross codes for examinations are based off documentation, there is no way to cross code this without seeing the documentation in the chart please refer to your CPT coding manual to select the most appropriate code; Examination code ranges: New patient 99202-99205, Established patient 99212-99215 As for the rest cross codes are as follows: (more)

Yes, the extraction should be billed out by the facility/provider who performed the service.

CEU's are not required

katana

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.

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)

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

Please send an email to support@adcaonline.org to resolve this matter immediately.

Root tip removal should be coded using D7250 removal of residual tooth roots.