Ask the Coder (415)

Hello adcaonline.org webmaster, Thanks for the well-structured and well-presented post!

The appropriate code for post-operative visits is D0171

CDT code D0140 is for a limited evaluation with a specific problem (i.e. patient has pain on tooth #3 and is seen for that specific problem only) while D9910 is used for the application of desensitizing medicament and may be reported on a "per visit" basis, this code is used for patients with root sensitivity (more)

All CDT codes will require ICD-9-CM codes to accompany them on the claim.

There is no specified CPT code for D6059 abutment supported PFM or D6057 custom fabricated abutment as these are considered the prosthetic phase of an implant service and should be billed to dental. According to utilization review medical carriers are only covering the surgical phase of an implant using CPT code 21248-21249. You may try (more)

What is code 4300

D4212 is to be used when you need access for a restorative procedure such as crown or filling. This is not to be used to remove large pockets in gum tissue. Whitout reviewing the providers notes of treatment performed we may suggest that If RPS was performed a more appropriate code for removal of large (more)

Every carrier is different, however, we suggest you appeal the claim as MODB on a posterior composite would be appropriate.

The appropriate code for a consultation performed by two seperate providers of the same office would be D0160.

Depending on the carrier you may use either D0140 again or D0170. You will need to check with the particular carrier as each have their own utilization review guidelines.