Ask the Coder (563)

RSP must be done on a separate visit. It is not billable in conjunction with periodontal maintenance or a prophy.

depending on how many credentials you hold it is 12 CE's for the first credential and an additional 4 CE's for every credential you hold in addition.

99512 would be an inapproiate code for sleep apenea / tap appliance as the code is used for Home Health visit for hemodialysis. They may have transposed the numbers and it should be 99215 for an exam, however, even that would be considered over-coding as it would be difficult to meet the criteria for a (more)

No, you must adhere to the contractual obligation set forth by the insurance carrier.

If you are billing to the dental carrier you would use D7240 and note in the remarks area of the CDT form this is a supernumerary tooth. You should also include an x-ray along with the claim.

Since they are a requirement by some insurance companies on the CMS-1500 form I would say that it is also a good idea to enter them on the UB-04 form, but I cannot find documentation that states that it's a requirement. You might want to check with the insurance carrier to be sure.

It is not common practice to code D0120 with treatment, this is used for 6 month check-up. You are to use D0140 or D0170 for exams with treatment as long as the documentation supports an exam at the same time.

It is very likely that the insurance is going to deny the second D9222 and D9223. I would submit medical records indicating the need for general anesthesia the second time (twice in a day). This is a rare occurrence, and it's likely that it will be denied as you already had the patient sedated once (more)

Yes it does because they are putting in a bridge or bridgework.

All answered questions are delivered via e-mail and stored in the FAQ database... The supernumerary tooth is coded using D7240 and noted in the remarks area of the claim form as a supernumerary tooth. You will further add an S to the tooth number area.