Ask the Coder (563)

According to NY State Medicaid Dental Procedures and Code Guidelines, it does not state that an exam and cleaning must be preformed on the same visit. However, in most instances it is preferable to have the cleaning, exam and x-ray performed at the same time. There is no right or wrong on this particular issue.

41899

It is not a good idea to take x-rays after a cleaning (D1110) for the fact you just stated above. If a patient has moderate to severe plaque/claculus you want it visible on the x-ray. In order to bill root planning/scaling D4341/D4342 you need to the following; 1. Indications of moderate to severe calculus 2. (more)

Hi! I would recommend sending a pre and post-operative x-ray of the tooth, the clinical notes showing the Doctor's diagnosis, and a narrative from the provider stating why they determined that the best care for the patient was a D2954.

The code depends on specificity: Code series D6114-D6117 is for dental implant supported fixed (overdenture) Code series D6110-D6113 is for dental implant supported removable (overdenture) Your question needs more specificity to narrow down the correct code.

Every carrier is different, however, we suggest you appeal the claim as MODB on a posterior composite would be appropriate.

The most appropriate code would be D2999 (unspecified restorative procedure) make sure to add a short narraitive to support your code.

Yes, removal of root tips and the removal of a benign odontogenic cyst is billable in the same day.

You will charge out for a new crown and provide a narrative with the claim explaining the circumstances. They will usually pay 50% of the original fee.