Ask the Coder (541)

There is no CPT code for D2750 as crown's are not a covered medical benefit and should not be submitted to the medical carrier unless told to do so by the carrier. In that event you would need to use an unlisted code, the most appropriate code would be CPT 41899. You will need to (more)

According to insurance guidelines the plan that has been in effect the longest would be the primary plan. If he is still insured and eligible under his fathers plan that plan would be considered primary and his wife's insurance would be secondary. Now if he is no longer eligible under his father's plan his wife's (more)

If they are new to the practice 99203, if the patient is established 99213. Please note the documentation MUST be complete to meet these levels of service.

Yes, Diagnosis codes come from current year ICD-9-CM volumes 1 & 2 for Physicians.

HCPCS code for versed is J2250. It is placed in boc 24D of the CMS-1500 form.

For a child under 3 years of age you should use D0145, for children over the age of 3 you should use D0150

No, D0150 and D0180 may not be coded in the same visit. No, a hygienist may not code D0180 or any other exam it is not within their scope of practice. Exam codes are to be billed by a denist only. The only exception would be for an affiliated dental hygienist to bill for D0190-D0191 (more)

The most appropriate code would be D7971 (excision of pericornal gingiva)

The correct ICD-9-CM code for tobacco user, active smoker is 305.1

Usually dental carriers will only allow flouride varnish to be paid to a dentist. However, we have seen some instances where a medical provider was paid for it during a preventative visit. It is up to carrier discretion, you should always check with the specific carrier prior to work.