Ask the Coder (531)

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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 second charge was denied by insurance. Is that not the correct code? Thanks!

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is there global surgical packages in the dental practice

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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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660
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Why would one be covered under the plan and not another

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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 WITH TRIOS 3 SCANNER, BITE WITH TRIOS 3 SCANNER, NO CARIES FOUND, BUCCAL INTERNAL/EXTERNAL RESORPTION, TOOTH HAS POOR PROGNOSIS, REMOVED BUCCAL GINGIVA THAT HAD GROWN INTO THE CAVITATION, ETCH, P&B, COMP CORE, FINAL PREP, PACKED COTTON WITH TREXODENT, RINSE, DECIDED TO GO TO THE OS AND PROCEED WITH AN IMPLANT, GLUMA, PERFECT TEMP, CEMENTED W/ FUJI
SHADE: A1 BruxZir
NEXT: OS consult w/ Dr Lopez
DWP: nothing hot to drink, no crunchy, hard, or sticky foods and floss with pulling floss through not up.
Doni R Mallia, DDS

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Is D7300 considered an implant?

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Do two quads of D4342 qualify for D4910?

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127
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Is D7300 considered oral surgery or an implant?

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Would this be something we could bill to insurances and Medicaid patients IF we tell them upfront that they will need to pay for that part of the service? Or, is there an obscure code that we can utilize to collect on behalf of waste fees?