Ask the Coder (537)

D9230 is billed out once as a single code per visit, it does not have a time limit.

No Z01.20 and Z01.21 are not appropriate for sealants, crowns, post operative visits. You will now code why the patient is there, the cause of the sealant, crown, extraction. Example patient comes in for surgical extraction due to gross caries. The provider will now need to tell you "why" he is doing the procedure and (more)

According to Delta Dental utilization review guidelines it is not appropriate to bill out an emergency palliative and a dental exam in the same visit.

Since you are performing a ridge augmentation where you are reducing the ridge instead of increasing the ridge a more appropriate code would be D7999. Submit with a brief explanation in the remarks area of the ADA 2012 claim form and use the appropriate ICD-10-CM code as explanation.

No there is no cross code for this procedure as it is not covered by medical carriers.

The most appropriate code would be D2999 and submit a brief narrative in the remarks box as to what is being done and why.

You should be using ADA 2012 forms effective October 1, 2015.

It is considered a varnish and you would use CDT code D1206

Yes, you may bill for the N2O however you must have a brief explanation accompany the claim.

You can, however, depending on the carrier this may not be covered if D5130 is not delivered on the same day.