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    20240 vs 20245
    Should we bill 20240 superficial or 20245 deep for biopsy . I feel the codes our providers are selecting is incorrect they are picking 20245 (deep)
    asw0929 May 18, 2022 7:18 pm
    More specifically where is your biopsy? Most likely, if you are coding dental, you are going to use 20240 (superficial), but I would hate to say without hearing specifically where this biopsy is taking place. 20240: The physician performs an open biopsy on bone to confirm a suspected growth, disease, or infection. With the patient (more)
    TorChop
    asked 3 years ago by
    Anonymous
    1
    answer
    0
    What are all the codes that can be billed out for the denture process?
    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)
    Crescent319
    asked 3 years ago by
    Anonymous
    5
    answers
    1
    3 surface filling billing
    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.
    Me
    asked 2 years ago by
    Anonymous
    5
    answers
    0
    Dental Dental Xray denied Claim
    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 3 years ago by
    Anonymous
    1
    answer
    0
    Re-Sub: I work in a pediatric dental office. If a child was initially seen (first visit ever) at our office and is 1 year old and we code out D0145 (Oral Evaluation, pt under 3 yrs), when they return in 6 months for a recall visit- would it be more appropriate to charge out the D0145 again or the D0120 (Periodic Oral Evaluation)? Is the D0145 code only for patient's under 3 at their initial visit? More specifically- If a child is under age 3 and started seeing us at age 1 year - do we keep billing out the D0145 until they are 3 at every 6 month recall? Thank you for your time. '
    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.
    Admin
    asked 12 years ago by
    ADCA Admin
    1
    answer
    0
    Please explain the procedure difference for: 1.D9940 2.D7880 3. Can you bill for D0470 for the impressions separately. Thank you
    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)
    Admin
    asked 9 years ago by
    ADCA Admin
    3
    answers
    0
    What would be the procedure code for replacing teeth on an existing partial denture?
    iflores October 12, 2021 8:37 am
    Thank you for your answers. I am still confused. Could I use code D5640 Replace broken teeth? even if the teeth are not broken? they are just worn out. please help clarify
    iflores
    asked 4 years ago by
    Ilda Flores
    1
    answer
    0
    is a tooth number required to bill D7410; dorsal area of tongue
    asw0929 May 15, 2022 8:19 pm
    No. A tooth number is not required for this code, as this service is not pertinent to a tooth. D7410 is the excision of a lesion from the inside of the mouth. The length of the lesion is required in order to select the code, however. D7410 excision of benign lesion up to 1.25 cm
    Admin
    asked 3 years ago by
    ADCA Admin
    1
    answer
    0
    D7921
    Does anyone have any documentation for appealing the D7921?
    asw0929 May 16, 2022 7:41 pm
    Did you submit the medical records for the necessity of the procedure? Be honest and open in your documentation - send medical records indicating the necessity of the procedure and a diagnosis to support what was done. You may want to also include a detailed letter that is descriptive of the necessity along with the (more)
    asked 3 years ago by
    Anonymous
    1
    answer
    0
    Correct usage of D0705 and D0251 ?
    Replacing D0274
    asw0929 May 15, 2022 8:01 pm
    I'm sorry. I am not completely understanding your question. There is a big difference between the codes D0705, D0251 and D0274. D0274 bitewings - four radiographic images D0705 extra-oral posterior dental radiographic image - image capture only; Image limited to exposure of complete posterior teeth in both dental arches. This is a unique image that (more)
    MaryPW
    asked 3 years ago by
    Anonymous
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