Ask the Coder (532)

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

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

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)

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.

Please be more specific in your question, as there is no current code for intraoral scan. What type of scan and why is it being preformed? Example intraoral cancer scan/screening ?

CDT code D0363 that was used for cone beam three dimensional image reconstruction has been deleted.

Is there a code for wax bite registration?

By report means you must send in a dictated report from the dentist on the procedure and how it was preformed, along with the claim submission.

The rationale behind D9311 is to consult with the patient’s healthcare professional before beginning active treatment to ensure that all potentially dangerous medical conditions are discussed and the best course of treatment is collaborated for the patient’s safety. This exchange of information must be recorded in the patient’s’ clinical notes as a document, audio file (more)