Ask the Coder (415)

D9930 - Dry socket

Yes, as long as the codes were not billed out on the same day or the procedure performed on the same day.

D5282 removable unilateral partial denture one piece cast metal (including clasps and teeth), maxillary Yes, this code requires either a tooth number or quadrant to accompany it on the claim form.

This question is to vague please give more detail...

CDT code D9110 is typically inclusive of the extraction and therefor will be rejected when submitted at the same time as an extraction. As for the other code D01240 this code does not exist. If the code you were intending is D0120 that would be an inappropriate code as well, since the patient is coming (more)

The best narrative to submit is the one the provider wrote in the chart as to why the patient needed nitrous oxide CDT code D9230. If nitrous was used in behavior management it should be accompanied with code D9920, below is an explanation of when behavioral management should be used. D9920 is to be used (more)

The problem here is fax back eligibility does not guarantee payment from the carrier it merely states to the best of their knowledge the patient is active and eligible for treatment under the plan. You may try to appeal this decision by refiling the claim and sending in fax back proof of eligibility at time (more)

Medical cross codes for examinations are based off documentation, there is no way to cross code this without seeing the documentation in the chart please refer to your CPT coding manual to select the most appropriate code; Examination code ranges: New patient 99202-99205, Established patient 99212-99215 As for the rest cross codes are as follows: (more)

CEU's are not required

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