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If a patient has a primary plan either through an employer or the open market, will as supplementary plan like AFLAC or Colonial Life with no COB be listed as secondary? I just would like some clarification. COB has rules but when there is no COB som...
Anonymous April 8, 2025
Hello! This depends on whether or not the primary plan will even coordinate benefits with a secondary plan. Typically, Aflac and Colonial Life are fee schedule plans where the patient pays the difference between their fee schedule contract fee and UCR. Some Colonial Life or Aflac plans directly reimburse the patient and not the office, (more)
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Specialist #1 referred patient to specialist #2 for a broken tooth. Oral evaluation and x-rays were taken. Tooth was extracted at the same appointment. A separate charge from the tooth extraction fee, a consultation fee of $99.was charged. That secon...
Anonymous January 15, 2024
9310 is the correct code. Consultations (D9310) and exams often share the same frequency, by any chance was the D9310 denied due to frequency for exams had been met? Also, many dental plans will consider the exam inclusive of any other treatment performed that day and it might have been denied due to payment processing (more)
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is there global surgical packages in the dental practice
Anonymous January 10, 2024
Suture Removal would only be charged for if your provider did not place them. Otherwise, they are included in the procedure that required them.
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What codes can we use if exams and cleanings were done at separate appointment? Can we use z13.84 if exam was done only?
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Why would one be covered under the plan and not another
Anonymous August 27, 2024
D7956 was used on me at Seinna Monarch dentistry, I asked them about the code, and he said that it was an expensive material, and they charge for it.Whatever that particular material is under that code.D 7956 there I wasn't able to get my services done...
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This is for pediatric dental treatment under general anesthesia in an out patient clinic.
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CC: NONE HX: No Change DX: #K buccal resorption under crown Eye Protection Used: Yes Anesthetic: Denti-Care Denti-Freeze topical, 4% Septo c/ epi 1/200,000 x 1.7cc, mental TX: K core/crown prep ALGINATE IMP FOR TEMP, PRE SCAN UPPER AND LOWER ARCHES W...
Anonymous February 10, 2025
katana
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Do two quads of D4342 qualify for D4910?
Anonymous October 23, 2023
I will start by saying...read the code descriptions for each. The codes are distinctly different, and your provider should report the code that best describes the procedure performed. I caution you on substituting one code for another. Insurance carriers have the right to alter payment based on policy provisions and the codes submitted but as (more)
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Is D7300 considered oral surgery or an implant?
Anonymous October 23, 2023
I would advise my coders to assign D7300 because it is the corresponding code to the placement codes and was meant to remove a temporary device. In the CDT, it is found under the Oral Surgery section under Other Procedures. Implants placed for support of a prosthesis (D6010) have a different removal code (D6100) and (more)
