Ask the Coder (563)

The code for single crown implant supported would depend on the type of crown being placed code range D6065-D6067 Porcelain/ceramic D6065 PFM D6066 Metal Crown D6067

I have not reviewed the book personally, however, PMIC is a great company. I do know that they have backing from the AAOMS for the book so it must hold some validity.

As long as the patient is condisdered by the dentist as a periodontal patient and the patient has enlarged pocket depths of 5mm or more you may bill the D4910.

You always want to fully disclose to the insurance company how a contract or treatment is being proposed or paid for by the patient. Yes, it is ok to bill this way!

Depending on the device, if you are using TAP appliance you would use 21089 for the appliance and 99002 for the handeling of the appliance. You need to be more specific as to the type of sleep apenea device your are utilizing. Medicare will only pay for an appliance if a sleep study has been (more)

The rules to billing medical carriers are defined within your contracts and vary from carrier to carrier, you need to review your contracts or review the guidelines found in your CPT manual. As for determining diagnosis codes these must come from your doctor, you as a coder/biller may not determine what diagnosis is appropriate. Once (more)

For an all on 4 here are common procedures: -D6010: Surgical placement of implant body (endosteal) -D6114: Implant/ abutment supported fixed denture maxillary -D6115: Implant/ abutment supported fixed denture mandibular -D6118: Interim fixed denture mandibular -D6119: Interim fixed denture maxillary -D6180: Implant maintenance (cleaning of prosthesis and abutments) The provider needs to diagnose and treatment (more)

Typically they are answered within 72 hours depending on the level of difficulty of the question being asked.

You would charge this code one time as the code description clearly states (odontoplasty 1-2 teeth), since you have two teeth involved and they are side by side you would get this code one time only.

No, the purpose of a full mouth debridement D4355 is to remove enough calculus and plaques for an exam to be performed. There would be no "medical necessity" or valid clinical reason for a full mouth debridement D4355 and an adult prophylaxis to be performed on the same day. You are either doing an adult (more)