American Dental Coders Association | Dental Billing & Coding Certification Online

Certifying Dental Billing and Coding Professionals Nationwide

  • Accreditation
  • Login
  • My Cart

Ask the Coder (539)

Ask a Question
    Answers
    Question
    1
    answer
    0
    Could you help me with the medical claim coding for custom fluoride trays for a patient that had treatment for oral cancer? The radiation causes a decrease in saliva production, resulting in a dry mouth-which leads to an increase in tooth decay. So, the fluoride trays are a preventative measure against tooth decay. I need the medical billing codes (not the dental, as his dental insurance will not pay for the trays.) Thank you!
    Admin September 10, 2014 3:24 pm
    You would need to code the appropriate oral cancer code (170.1, 198.5, ect) as the initial diagnosis and Xerostomia (527.7) as the secondary diagnosis. Since fluoride trays are not typically a covered procedure under medical and there is no specific code the most appropriate procedure or CPT code would be 21089. This code will need (more)
    Admin
    asked 11 years ago by
    ADCA Admin
    1
    answer
    0
    Hi Can you tell me how many CEU to maintain for active membership? thanksCindy
    Admin September 5, 2014 12:29 pm
    The association requires 12 CE's per year...these CEU's must be uploaded to your members dashboard under the submit CEU's tab before December 31st of each year.
    Admin
    asked 11 years ago by
    ADCA Admin
    1
    answer
    0
    Where do I look to find the numbers of CE's I have.
    Admin August 28, 2014 8:39 am
    Your CEU information will be located in your members dashboard under submit CEU"s.
    Admin
    asked 11 years ago by
    ADCA Admin
    1
    answer
    0
    We recently had a patient come in for a filling. About a week after the filling was placed the patient was seen for normal cold sensitivity with the recent filling. What is the proper code to use for the post treatment appointment.
    Admin August 26, 2014 7:36 am
    Typically this would be considered inclusive in the initial procedure, however, some carriers will allow you to code for a limited exam D0140.
    Admin
    asked 11 years ago by
    ADCA Admin
    1
    answer
    0
    We did an off hours emergency procedure for a patient. Patient broke off large !! section of filling that lodged into gum and bone. Took an hour to remove and then we need to debride the now gum pocket and infection. This was festering for week so acute gingival infection caused by foreign body. We had to use laser to treat and then did sedative restoration where broken. UC has previously denied laser treatment in other cases. How should we code to get reimbursed?
    Admin August 12, 2014 7:40 pm
    This procedure should be billed out as follows: D9440 for the office visit D7540 for the removal of foreign body (included bone) D7550 for the debridement of infection to the gum pocket and bone (laser is included in this code) D2940 for the sedative restoration
    Admin
    asked 11 years ago by
    ADCA Admin
    1
    answer
    0
    What is the corresponding medical diagnostic code and treatment code for dental procedure D3425 apico 1 root molar and D3426 additional root same tooth and D3430 retrograde filling per root
    Admin August 7, 2014 1:18 pm
    There is no specific medical code for these procedures as they are not typically covered by medical carriers. You may try 41899 and submit a breif narrative with the claim for possible payment. As for a diagnostic code you would need to be specific as to the diagnosis...why is the provider doing an apicoectomy (i.e. (more)
    Admin
    asked 11 years ago by
    ADCA Admin
    1
    answer
    0
    If a patient presents for a cleaning and it is determined that they need D4341 for each LL & LR quadrants, but only D1110 for the entire upper - how would this be billed out typically? Is the D1110 somehow absorbed into the fees for D4341? Or would it be up to the individual insurance companies? Would your answer change if the number of quads needed changed? Thank you!
    Admin August 1, 2014 10:24 am
    These appointments should be divided into two visits. The RPS should be preformed together on the same day and the patient should return for a second appointment for the routine cleaning.
    Admin
    asked 11 years ago by
    ADCA Admin
    1
    answer
    0
    What code can be used to bill a sleep apnea appliance? I thought a D7880? I was told D9940. The NDAS does not give a fee for sleep apnea orthodic devices, what is usually charged? twice more than the occlusal guard?
    Admin July 29, 2014 9:19 pm
    Since there is no specific code for sleep apnea appliance the most appropriate code is D5999. You must submit a breif narrative along with the use of this code. The fee varies from region to region, if it is not listed in the NDAS the rule of thumb is to price the procedure 150% above (more)
    Admin
    asked 11 years ago by
    ADCA Admin
    1
    answer
    0
    What is a typical amount to charge for a snore guard sleep apnea appliance?
    Admin July 28, 2014 6:16 pm
    These devices vary in price depending on your geographical area. We recommend you use The National Dental Advisory Service's Comprehensive Fee Report to determine pricing in your area.
    Admin
    asked 11 years ago by
    ADCA Admin
    1
    answer
    0
    Is it common to bill a patient as D1110 after D4341 and D4910? I read the previous posting related to this topic, but I'm looking for an answer regarding D1110. Our new hygienist has recently seen a patient who has had D4341 and many subsequent D4910's, and charted the visit as D1110. Her notes state that the patient has deep pockets and heavy generalized plaque and stain. I was taught once a perio patient always a perio patient. If this is not correct, please explain why and if the visit should be billed out as D1110. If not, then D4910? Thank you!
    Admin July 26, 2014 1:37 pm
    If the patient has deep pockets and has undergone previous perio treatment the more appropriate code would be D4910 as these patients are not seen as a typical routine cleaning.
    Admin
    asked 11 years ago by
    ADCA Admin
    « Previous 1 … 27 28 29 30 31 … 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

    • National Member Advisory Board
    • Privacy Policy
    • Terms and Conditions
    • Cookie Policy
    • Disability Discrimination Policy
    • Data Protection Policy
    • Health and Safety Policy
    • Equal Treatment Policy
    • Code of Conduct

    American Dental Coders Association