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Admin January 1, 1970 12:00 am
Depending on the diagnosis code you used their may be repercussions to the patient (i.e. if you placed a diagnosis of malignancy and it was benign) Once the claim is processed you will need to immediately put in for a claim correction with Medicare, they will usually ask you to use one of the forms (more)
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Admin July 4, 2014 7:25 am
In some cases a prophy may take two appointments if it is considered a "difficult prophy". If your hygienist does not feel the patient meets requirements for a RPS and only meets the criteria of a prophy then a prophy should be billed. However, you should note on the claim form in the remarks area (more)
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SFD February 13, 2025 4:59 am
Can you charge each individual tooth as a single unit or a one fee for the whole bridge?
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Admin June 25, 2014 12:49 pm
D9310 is really used for second opinions or specialty consultations. Depending on the documentation and detail of the exam the more appropriate code would be either D0140 or D0150. Remember the documentation must support the level of service.
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Admin June 24, 2014 1:32 pm
If the provider is doing more than just a pulp vitality test, which I am sure according to the notes he/she is then you would code both the exam as D0140 and the pulp vitality test D0460 as it would be appropriate to bill both.
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Admin June 18, 2014 11:39 am
No we do not have an area for documentation requirements, however, your question has been submitted to the advisory board for consideration.
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Lee W June 29, 2022 1:53 pm
The doctor used D9911 and my insurance Cigna doesn't cover, I've to pay $1000. I was even not aware that insurance doesn't cover it. I'm wondering if the doctor can use D9910 instead which is covered by insurance.
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Admin June 11, 2014 2:14 pm
If 4 bitewings and 3 PA's are taken on the same visit the appropriate way to code this visit would be the following: D0274 x 1 (bitewings- four radiographic images) D0220 x 1 for the 1st PA (periapical first radiographic image) D0230 x 2 for the additional 2 PA's taken (periapical each add image) Your (more)
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Admin June 11, 2014 12:10 pm
Yes, D9610 would be the most appropriate code.
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Admin June 10, 2014 3:43 pm
Medical carriers do not cover any type of composite fillings unless it is due to trauma or an accident. You can try to use CPT code 41899 and send a brief narrative with your claim.
