Ask the Coder (544)

This code is used inbetween D0140 interchanged every 6 months and is used as a limited evaluation for a specific problem. For example if the patient came in with tooth pain on 4/6/2014 and you performed a limited exam you would use D0140, and then the patient came back on 5/7/2014 for a cracked tooth (more)

I went to Aspen Dental to have a wisdom tooth removed. They made an appointment for the oral surgeon the following month at same office. The oral surgeon pulled the tooth. I was billed for a D9310 code. Which I believe is inaccurate.

The limited exam would be billed out at D0140.

Unfortunately this is not a billable procedure, acclimating the child to the dental office is considered inclusive of the procedure that will be preformed and not reimbursable if no procedure was performed.

This depends on the documentation either D0140 or D0160 would be appropriate depending on the type of examination given and the "medical decision making".

This procedure is dependent on utlization review by each individual carrier... the majority of carriers allow this on teeth that have 5mm pocket depth or more or have severe.chronic gingivitis.

What you are describing would fall under limited orthodontic treatment.

No it would not be appropriate to use D5130 and D5140 for both partial and complete dentures. These codes are for Complete immediate dentures only.

This code is dependent on provide documentation.This code is for patients presenting to the office with a specific problem or dental emergency. It is not used for routine dental visits or second opinions.

D9999 accompanied with a short narrative is the most appropriate code.