Ask the Coder (544)

Any patient who has not been seen by any provider in the same practice in over 3 years is considered a new patient.

If this claim was denied due to timely filing an appeal is not going to change the outcome. You need to read your contractual obligation on claim submissions with the carrier and proceed according to their guidelines. If this claim was filed in a timely manner and had to be resubmitted then denied you have (more)

This exam is set to release January 2017

1. There is no code for taking a patients picture for identification purposes nor is it a billable charge. 2. depends on the type of x-ray taken and if it was supervision and interpretation only. Please be more specific when submitting a question. Also only one question should be submitted at a time.

Tomography without contrast 70486 with contrast 70487 3D rendering 76376-76377

D6199 or D0393 depending on the carrier

1 & 3. The impression is inclusive of the appliance however, some insurance carriers will allow D0470 2 & 4. Depends on the appliance 21243, 21085, 21089 ??? 5 &7. D0470 6 & 8. 99002

The most appropriate code for the pediatric dentist to use if the general dentist already used D0120, D0145, or D0150 would be D0160.

The following providers may bill CDT code 0190 MD, NP, RN, and Hygienist.

The standard is 13 years and older