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    Regarding code D9310, consultation by another dentist. We have multiple providers in our office and there are occasions where one of our providers refer to another provider in our office. To give you an example, one dentist will refer to another dentist (internally) for an extraction. Sometimes it is necessary for the referred dentist to evaluate the patient before the extraction can be accomplished. Can this code be used for this purpose?
    Admin April 12, 2014 12:11 pm
    No using D9310 within the same office is inappropriate. The correct way would be to use D0150 for the general dentist first "initial" visit and then use D0160 for the referral to the oral surgeon.
    Admin
    asked 12 years ago by
    ADCA Admin
    1
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    0
    Hello, Is there a code when you have to repair a temp bridge that has broken??
    Admin April 11, 2014 12:03 pm
    The most appropriate code is D2999, you must submit a short narrative along with the code.
    Admin
    asked 12 years ago by
    ADCA Admin
    1
    answer
    0
    My understanding is that when more than 1 PA is done you would code D0220 first PA and D0230 for each additional PA so for example if 3 PA's are done you would code D0220, D0230, D0230, is this correct?
    Admin April 11, 2014 8:38 am
    Yes, that is correct.
    Admin
    asked 12 years ago by
    ADCA Admin
    1
    answer
    0
    If a patient has both Medicaid/chips and a private dental insurance but we don't accept the private insurance, what is the best way to handle this situation? Can the dental office still see the patient?
    Admin April 5, 2014 6:54 am
    Yes, you can still see the patient. You will have to bill the private insurance first and when you receive the EOB you will attach it to the claim and submit to Medicaid.
    Admin
    asked 12 years ago by
    ADCA Admin
    1
    answer
    0
    Re-Sub: I work in a pediatric dental office. If a child was initially seen (first visit ever) at our office and is 1 year old and we code out D0145 (Oral Evaluation, pt under 3 yrs), when they return in 6 months for a recall visit- would it be more appropriate to charge out the D0145 again or the D0120 (Periodic Oral Evaluation)? Is the D0145 code only for patient's under 3 at their initial visit? More specifically- If a child is under age 3 and started seeing us at age 1 year - do we keep billing out the D0145 until they are 3 at every 6 month recall? Thank you for your time. '
    Admin April 3, 2014 3:15 pm
    It all depends on the carrier. Most carriers will have you bill out the D0145 code until the child is over 3 years of age. However, some want you to bill the initial as D0145 and then the subsequent visits as D0120. You need to check with your utilization review guidelines for your state.
    Admin
    asked 12 years ago by
    ADCA Admin
    1
    answer
    0
    if two occlusal images were done on the same day, one for the top and one of the bottom. Would we bill this out with D0240 x 2? or would we bill D0240 on separate lines?
    Admin April 2, 2014 10:08 am
    Depending on the carrier, usually it will be bill out on seperate lines. You will need to put an explanation in the remarks area of the claim.
    Admin
    asked 12 years ago by
    ADCA Admin
    1
    answer
    0
    I work in a pediatric dental office. If a child was initially seen (first visit ever) at our office and we code out D0145 (Oral Evaluation, pt under 3 yrs), when they return in 6 months for a recall visit- would it be more appropriate to charge out the D0145 again or the D0120 (Periodic Oral Evaluation)? Is the D0145 code only for patient's under 3 at their initial visit? Thank you for your time.
    Admin April 1, 2014 10:15 am
    D0145 is for children under 3 years of age only...without knowing how old the child is we cannot give an appropriate answer to your question at this time.
    Admin
    asked 12 years ago by
    ADCA Admin
    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,
    Admin
    asked 12 years ago by
    ADCA Admin
    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.
    Admin
    asked 12 years ago by
    ADCA Admin
    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.
    Admin
    asked 12 years ago by
    ADCA Admin
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