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    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
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    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
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    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
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    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
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    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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    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.
    Admin
    asked 12 years ago by
    ADCA Admin
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    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.
    Admin
    asked 12 years ago by
    ADCA Admin
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    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)
    Admin
    asked 12 years ago by
    ADCA Admin
    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
    Admin
    asked 12 years ago by
    ADCA Admin
    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)
    Admin
    asked 12 years ago by
    ADCA Admin
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