Ask the Coder (544)

Can you charge each individual tooth as a single unit or a one fee for the whole bridge?

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.

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.

No we do not have an area for documentation requirements, however, your question has been submitted to the advisory board for consideration.

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.

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)

Yes, D9610 would be the most appropriate code.

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.

ICD-9-CM code 521.89

The most appropriate code for the second provider would be D0160