American Dental Coders Association | Dental Billing & Coding Certification Online

Certifying Dental Billing and Coding Professionals Nationwide

  • Login
  • Logout
  • Member Portal
  • My Cart

Ask the Coder (537)

Ask a Question
Answers
Question
1
answer
0
What services are able to be billed for a hygienist only. This is if the dentist is on call and not in the physical office. Also, who would be used as the billing resource?
Admin March 26, 2014 5:30 am
The answer depends on if the hygienist is an affiliated dental hygienist or a registered dental hygienist...without this knowledge an appropriate answer cannot be given,
1
answer
0
I need to know what CPT code can be used when an OMS provider is testing for pulp vitality using the cold method. I know the CDT code is D046 but what is the compatible code in CPT?
Admin March 22, 2014 8:23 am
There is no compatiable CPT code for this procedure. You may however use the D0460 code along with a narrative to medical.
1
answer
0
Patient has wisdom teeth surgery. Four days later comes in with dry socket and is treated for this. Four days after the dry socket treatment is seen for follow up by surgeon. What is appropriate to bill for the dry socket treatment as well as the follow up to the treatment?
Admin March 15, 2014 7:10 am
Both would be considered inclusive of the initial treatment as it is within the 10 day global period guideline.
1
answer
0
> I was wondering if there was any standard set in place for acceptable > periodontal charting. We frequently receive claims for periodontal > work but the charting to support the services is well over 1 year old.
Admin March 11, 2014 11:53 am
According to best practices periodontal charting should be performed once a year on a healthy patient and once every six months on a patient with peridontal disease.
1
answer
0
Do the implant services codes include the implant themselves, or is the code just for the procedure?( Codes D6000-D6199).
Admin March 8, 2014 12:42 pm
This is for the surgical phase only; the prosthesis should be bill out separately.
1
answer
0
Is there a guideline as to what can/cannot be billed for pre-op/follow up visits for oral surgery procedures? I am looking at 3rds, bone grafting, implants type procedures.
Admin March 8, 2014 12:12 pm
Each carrier will have specific guidelines on this...it is always best to check with the carrier. In general here is the global period for each procedure D7220-D7241 Extraction of 3rds has a 10 day global period. Bone grafting has a 10-30 day global period depending on the procedure. D6010 Dental implants has a 30 day (more)
1
answer
0
I have a pt that was involvedin an accident - he came in today for ext's, implant placement & bone grafts - the codes used are D7210, D6104 & D6010 - what are the codes I should be using to file with the pt's Medical carrier?
Admin February 18, 2014 9:28 am
You will need the diagnosis code along with the correct E code (accident or trauma code) to accompany the following CPT codes... D7210 crosscode 41899 D6104 is not a valid code bill as CDT D6010 crosscode 21248
1
answer
0
What is the correct way to bill caries as a medical condition? My Boss asked me that question just to make sure that i will not sleep at night :)He also mentioned: "For example when it leads to medical problems like malnutrition, speech, swallowing, digestion, problems like obesity or dystrophy.Please help, need ASP!
Admin February 17, 2014 6:44 pm
You will need to append the correct ICD-9-CM codes to the claim to prove "medical necessity" and therefore bill out as a medical condition...your diagnosis codes tell the story. It tells "why" a procedure needs to be preformed and it proves "medical necessity". For example: patient has gross carries and is unable to eat causing (more)
1
answer
0
My future Boss wants me to know Emdeon software, is there any demo version, or should I purchase it? Is there any way for me to learn how to use it without purchasing?
Admin January 1, 1970 12:00 am
We do not train on software as there are to many out there...your best option is to contact the vendor (Emdeon) and ask them if they have a demo version for you to use.
1
answer
0
Trying to bill for virtual planning that is done in oral surgery preparation. Is there a Dcode for this service yet?
Admin January 29, 2014 1:46 pm
As of yet there is no set code, you may use an unlisted oral surgery code for this.
« Previous 1 … 32 33 34 35 36 … 44 Next »

Corporate Profile

American Dental Coders Association
9015 W Union Hills Dr Ste 107 #314
Peoria, AZ 85382
1-833-469-2322

American Dental Coders Association BBB Business Review
  • Facebook
  • Instagram
  • Pinterest
  • Twitter
  • YouTube

Quick Links

  • ADCA Certification Verification
  • Information For the Dentist
  • Dental Billing & Coding 101 for 2025
  • Contact Us

ADCA Legal

  • Accreditation
  • Dentist Advisory Board
  • National Member Advisory Board
  • Privacy Policy
  • Terms and Conditions
  • Disability Discrimination Policy
  • Data Protection Policy
  • Health and Safety Policy
  • Equal Treatment Policy
  • Cookie Policy

American Dental Coders Association