Answers
Question
For example, there is the impression, the wax up, the try ins (and all of the times it takes to get this right with the lab). By the end of the process, being in network with their insurance causes us to lose out on money when we simply bill out the ...
Oanh Phan September 13, 2022 2:43 pm
To my knowledge, there is no way to bill for the lab ( steps involved until denture is complete ) to the insurance. if patient does not show up to pick complete the process, you can bill with a narrative to get some payment ( reimburse for your time and lab fee). I know my (more)
asked 3 years ago by
If you do a DO filling and a B filling on the same tooth and the DO does not touch the B can you bill for 2 seperate fillings the same day?
Admin December 22, 2022 8:08 pm
Yes but in many cases the insurance will downgrade it to a D2393 and pay it as that code. I've recently dealt with this with a patient with Guardian insurance.
asked 2 years ago by
How to claim delta dental x ray? I just claimed New exam 0150 and FMX, they denied for FMX service.
LiftRCM October 9, 2022 11:51 am
Segment your X-rays based on those taken in the series. It is important o understand the CARC or RARC on the RA. Unfortunately, some benefit plans consider an FMX the came and a Pano, although they are for different purposes.
asked 2 years ago by
Anonymous
Admin April 3, 2014 3:15 pm
It all depends on the carrier. Most carriers will have you bill out the D0145 code until the child is over 3 years of age. However, some want you to bill the initial as D0145 and then the subsequent visits as D0120. You need to check with your utilization review guidelines for your state.
asked 12 years ago by
Admin January 6, 2017 1:59 pm
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)
asked 9 years ago by
Admin March 17, 2011 4:32 pm
asked 15 years ago by
Lee W June 29, 2022 1:53 pm
The doctor used D9911 and my insurance Cigna doesn't cover, I've to pay $1000. I was even not aware that insurance doesn't cover it. I'm wondering if the doctor can use D9910 instead which is covered by insurance.
asked 12 years ago by
Staylor2964 January 21, 2022 2:27 pm
Virginia will pay for dentures for adults. It does have to be pre-authorized. Most of the time they are approved.
asked 4 years ago by
Anonymous
We did a sinus lift on the UR and UL. Can I only bill the 7951 once or can I bill it for the UR and again for the UL?
asw0929 May 15, 2022 8:11 pm
This can be reported twice if both upper quadrants are augmented. I would recommend sending documentation to support both the UL and UR quadrants so there is no question as to overbilling the procedure. See Coding Companion 2022, Clinical Coding Scenario #3 on page 215 for verification. This procedure is performed to increase the alveolar (more)
asked 3 years ago by
Does this code require tooth numbers to be reported?
maryanna1964 February 23, 2022 2:09 pm
Yes it does because they are putting in a bridge or bridgework.
asked 3 years ago by
