Ask the Coder (539)

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)

D9940 is an occlusal guard this procedure will require a brief narrative to prove medical necessity. It is a removable dental appliance and is designed to minimize the effects of bruxism and other occlusal factors. D7880 is an orthotic device which also requires a brief narrative to prove medical necessity, however this device is used (more)

D0140 is for a patient being seen for a specific problem minimal documentation is required. Why the patient was there or Chief Complaint and proposed treatment. D0150 is for a first time patient and must meet the following criteria oral cancer screening, evaluation and recording of patients dental and medical history and overall general health (more)

No, the provider must document clearly each day what was done and each day needs to be signed off on.