Ask the Coder (540)

The appropriate way to submit the claim would be to have the attending provider’s information in box 45-52a and the treating/resident/hygienist information placed in box 53-58 of the ADA 2012 claim form. You may submit the claim with the hygienist or residents NPI number only as long as the attending has both NPI and license (more)

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)

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.

Your CEU information will be located in your members dashboard under submit CEU"s.

Typically this would be considered inclusive in the initial procedure, however, some carriers will allow you to code for a limited exam D0140.

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

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)

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.

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)

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.