Ask the Coder (537)

What you do for one you must do for all...it is best to check with each individual carrier as to your contractual obligation prior to running any kind of specials.

This question is very vague, if you are performing a periodontal scaling and root planning the appropriate code will depend on how many teeth exist in the quadrant. If there are four or more teeth in the upper right quadrant you will bill D4341 if there are one to three teeth in the upper right (more)

It varies upon carrier, the consensus is this should be billed on the seat date.

The ruling from CMS is any provider whose scope of practice permits may assign a diagnosis code, (DDS, DMD, MD, Resident) it does not specifically state as to Hygiene. The common consensus is a hygienist may assign a diagnosis code however, it must be approved/reviewed by the attending/supervising provider.

Yes

This is a new procedure and none of the current CDT codes are compatible, therefore, the most appropriate code at this time is D4999. In the remarks area of the ADA2012 claim form you need to put "Chao Pinhole Technique performed."

No the CDC and CDBS exams are two different credentials. The Certified Dental Billing Specialist (CDBS) exam is for billers and covers aspects of billing. While the Certified Dental Coder (CDC) exam is more elite and covers code assignment and proper documentation.

70300 times the number of radiographs

No this is not sufficient documentation for a D0150. A comprehensive exam must have documentation in the chart showing oral cancer screening, recording of patients dental and medical history, a general health assessment. Evaluation of dental caries, missing or erupted teeth, restorations, perio condition. It is basically a full assessment of the patients physical and (more)

You should be using the ADA2012 claim form. Yes, you will need to append ICD-10-CM codes to each and every claim.