American Dental Coders Association | Dental Billing & Coding Certification Online

Certifying Dental Billing and Coding Professionals Nationwide

  • Accreditation
  • Login
  • My Cart

Ask the Coder (537)

Ask a Question
Answers
Question
1
answer
0
What D code can be used for an Federally Qualified Health Center organizations to bill Medicaid for the supplemental payment or wrap for multiple visit procedures such as crowns or root canals in New York State? Thanks for any help you can provide.
Admin January 23, 2015 3:21 pm
The appropriate code for post-operative visits is D0171
1
answer
0
what is the difference between codes 0140 and 9910? and when can we bill for either? thank you!!
Admin January 23, 2015 1:19 pm
CDT code D0140 is for a limited evaluation with a specific problem (i.e. patient has pain on tooth #3 and is seen for that specific problem only) while D9910 is used for the application of desensitizing medicament and may be reported on a "per visit" basis, this code is used for patients with root sensitivity (more)
1
answer
0
Can you tell me how many new dental ADA codes will require ICD 9 or ICD 10 if you are a General Dentist?
Admin January 16, 2015 3:42 pm
All CDT codes will require ICD-9-CM codes to accompany them on the claim.
1
answer
0
I need a CPT code for D6059 and D6057 please.
Admin January 1, 1970 12:00 am
There is no specified CPT code for D6059 abutment supported PFM or D6057 custom fabricated abutment as these are considered the prosthetic phase of an implant service and should be billed to dental. According to utilization review medical carriers are only covering the surgical phase of an implant using CPT code 21248-21249. You may try (more)
2
answers
0
Can you please tell me the correct code for Arestin, Peridex and Fluoridex
Lola April 25, 2023 3:18 pm
What is code 4300
1
answer
0
I currently contract with an office that recently filed a claim for procedure code D4211 gingivectomy. Delta Dental denied claim because gums had SRP'S done earlier this year. I saw that gingivectomy has other codes assoicated with it one being D4212 which I think is coded when procedure is done to remove gum tissue for a restoration. Do you think they can use that code or was the correct code used since they had perio treatment done earlier this year?
Admin November 12, 2014 9:09 pm
D4212 is to be used when you need access for a restorative procedure such as crown or filling. This is not to be used to remove large pockets in gum tissue. Whitout reviewing the providers notes of treatment performed we may suggest that If RPS was performed a more appropriate code for removal of large (more)
1
answer
0
Hi, we billed a D2394 for #28 for surfaces MODB and claim was denied for invalid surfaces. The CDT does not specify what surfaces are billable with this code. Is there a way to know which surfaces are valid for D2394?
Admin November 6, 2014 9:50 am
Every carrier is different, however, we suggest you appeal the claim as MODB on a posterior composite would be appropriate.
1
answer
0
I work in a multi provider office. If one of our dentists refers to another dentist inside our organization for treatment such as a crown or Root canal treatment and a consultation is necessary to determine if the dentist can perform the treatment, what code do I use? This would mean that the dentist that is possible agreeing to perform the treatment wishes to clinically exam the area before scheduling the treatment. Does a code exist for this type of exam?
Admin November 4, 2014 12:32 pm
The appropriate code for a consultation performed by two seperate providers of the same office would be D0160.
1
answer
0
If a patient was present in our office for a problem focused exam D0140 and it is diagnosed that they have infection and need to return for an extraction or have a RCT performed in another office. They had not done either treatment and returned one month later with infection again with pain in the same tooth. What code should be used for the second visit? No treatment was able to be performed on either visit due to extensive infection and the need for antibiotic treatment prior to extraction or RCT.
Admin November 4, 2014 12:27 pm
Depending on the carrier you may use either D0140 again or D0170. You will need to check with the particular carrier as each have their own utilization review guidelines.
1
answer
0
What would be the correct code for a first time patient under the age of three? I think it is D0145, but unsure if D0150 is an option? This would be the first exam in our office and the patient is not in pain.
Admin November 4, 2014 12:24 pm
The most appropriate exam code for a child under the age of 3 would be D0145. The exam code D0150 would not be appropriate and should not be used in this instance.
« Previous 1 … 25 26 27 28 29 … 54 Next »

Corporate Profile

American Dental Coders Association
9015 W Union Hills Dr Ste 107 #314
Peoria, AZ 85382
1-833-469-2322

American Dental Coders Association BBB Business Review
  • Facebook
  • Instagram
  • Pinterest
  • Twitter
  • YouTube

Quick Links

  • ADCA Certification Verification
  • Information For the Dentist
  • Dental Billing & Coding 101 for 2025
  • Contact Us

ADCA Legal

  • Accreditation
  • Dentist Advisory Board
  • National Member Advisory Board
  • Privacy Policy
  • Terms and Conditions
  • Cookie Policy

American Dental Coders Association