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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)
asked 3 years ago by
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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
5
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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
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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
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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
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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
3
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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
asked 4 years ago by
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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
asked 3 years ago by
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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
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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)
asked 3 years ago by