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Ask the Coder (415)

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Question
1
answer
132
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Is there an equivalent CPT code for D1110 and D2331?
Admin May 29, 2014 9:36 am
There is not an equivalent CPT code for D1110 or D2331 as cleanings and routine fillings are not covered under medical unless it is due to an accident. You would use the "D" code to bill medical if this were the case.
Admin
asked 12 years ago by
ADCA Admin
1
answer
65
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0
How do you code for an extracton of a molar tooth when there is two teeth in the same spot. One under the other. Thank You
Admin May 29, 2014 7:45 am
Without specifics we are going to have to make sum assumptions...first assumption the molar tooth is erupted and the supernumerary tooth is impacted under the erupted molar. If this is the case the following is coded. You would code D7140 - D7210 (depending on the type of extraction) for the erupted molar along with the (more)
Admin
asked 12 years ago by
ADCA Admin
1
answer
2940
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is there a code for dental impressions for Dentures?
Admin May 10, 2014 2:44 pm
The impression is considered inclusive of the original procedure and is included in the reimbursment for the denture codes D5110-D5281
Admin
asked 12 years ago by
ADCA Admin
1
answer
1361
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0
Is there a specific code that can be used to adjust a filling that was placed three months prior?
Admin May 7, 2014 5:09 am
No, you would use an unlisted code and give a brief explanation...you should note most carriers will consider adjusting a high spot on a filling inclusive of the original procedure.
Admin
asked 12 years ago by
ADCA Admin
1
answer
84
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0
Can you advise me as to when D0170 should be used?
Admin May 7, 2014 5:08 am
This code is used inbetween D0140 interchanged every 6 months and is used as a limited evaluation for a specific problem. For example if the patient came in with tooth pain on 4/6/2014 and you performed a limited exam you would use D0140, and then the patient came back on 5/7/2014 for a cracked tooth (more)
Admin
asked 12 years ago by
ADCA Admin
2
answers
318
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0
Could you advise me as to when D9310 can be used?
KK March 26, 2024 9:16 am
I went to Aspen Dental to have a wisdom tooth removed. They made an appointment for the oral surgeon the following month at same office. The oral surgeon pulled the tooth. I was billed for a D9310 code. Which I believe is inaccurate.
Admin
asked 12 years ago by
ADCA Admin
1
answer
45
views
0
If a patient is present for a filling but decides he does not want to accomplish the planned procedure and would like to address the fact that the patient needs a complete upper denture. The treatment plan was already completed which includes the complete upper denture. The patient is given a referral to an outside prosthodontist and X-Rays were taken. The patient has Medicaid dental and only X-Rays can not be charged out per Medicaid rules. Is there another appropriate code that can be used in conjunction with the X-Rays that describes a limited exam and referral given?
Admin May 7, 2014 5:06 am
The limited exam would be billed out at D0140.
Admin
asked 12 years ago by
ADCA Admin
1
answer
66
views
0
If we have a young pediatric patient that is present for a filling but will not cooperate what code should be used? There was introduction to the equipment and time spent trying to set the child at ease.
Admin May 7, 2014 5:02 am
Unfortunately this is not a billable procedure, acclimating the child to the dental office is considered inclusive of the procedure that will be preformed and not reimbursable if no procedure was performed.
Admin
asked 12 years ago by
ADCA Admin
1
answer
60
views
0
I work in a multi provider practice. If a patient is seen by one dentist in our office and a treatment plan is developed, then seen in our practice by a different dentist for a second opinion on this treatment plan, what code is used for the second appointment?
Admin May 7, 2014 5:01 am
This depends on the documentation either D0140 or D0160 would be appropriate depending on the type of examination given and the "medical decision making".
Admin
asked 12 years ago by
ADCA Admin
1
answer
44
views
0
We receive many claims for gingivectomies on a tooth that is then being crown. What is the criteria for gingivectomy allowance?
Admin May 6, 2014 7:58 am
This procedure is dependent on utlization review by each individual carrier... the majority of carriers allow this on teeth that have 5mm pocket depth or more or have severe.chronic gingivitis.
Admin
asked 12 years ago by
ADCA Admin
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