Ask the Coder (94)

Hello! D9222 and D9223 are billed specifically in 15 minute increments, so if it is under 30 minutes, it is not recommended to bill for both D9222 and D9223 (total of 30 minutes) if only 20 minutes of sedation were performed.

Hello! Since you were referred to the specialist by another provider, and not seen by the original referring dentist, the code D9310 (Consultation- Diagnostic service provided by dentist or physician other than requesting dentist or physician) was appropriately applied. Alternatively, D0160 ( Detailed and extensive oral evaluation, problem-focused, by report) could also be used, as (more)

Depending how old the child is the bitewing could also be D0272

Hello! This is a great question. For D4910, each insurance plan is different. If the patient has coverage for D4910, typically, the insurance will want the date of the initial scaling and root planing along with x-rays and perio charting less than 12 months old. When it comes to the perio maintenance frequency, that also (more)

Hi! In past offices, we have used code D9310: Consultation - Diagnostic service provided by dentist or physician other than requesting dentist or physician.

i did submitted with d7240 with diagnostic code K01.1 still medical ins denied due to invalid/ missing diagnosis code what code i am missing, please help me

The American Dental Association has said it's a matter of clinical judgement of the dentist. It is appropriately reported as D4910, but if the treating dentist determines the patient can be treated with routine prophylaxis, then D1110 may be appropriate.

Agree with prior post, dentist do not usually charge a lab fee. BE careful charging more than the allowed amount on contracted plans and covered services; that is a compliance no no.

D0171

Hello! The patient's secondary insurance always needs to be billed to ensure accurate procedure history, regardless of the amount of the primary insurance's payment. Hope this helps!!