Ask the Coder (542)

Hello! This depends on whether or not the primary plan will even coordinate benefits with a secondary plan. Typically, Aflac and Colonial Life are fee schedule plans where the patient pays the difference between their fee schedule contract fee and UCR. Some Colonial Life or Aflac plans directly reimburse the patient and not the office, (more)

9310 is the correct code. Consultations (D9310) and exams often share the same frequency, by any chance was the D9310 denied due to frequency for exams had been met? Also, many dental plans will consider the exam inclusive of any other treatment performed that day and it might have been denied due to payment processing (more)

Suture Removal would only be charged for if your provider did not place them. Otherwise, they are included in the procedure that required them.

D7956 was used on me at Seinna Monarch dentistry, I asked them about the code, and he said that it was an expensive material, and they charge for it.Whatever that particular material is under that code.D 7956 there I wasn't able to get my services done...

katana

I will start by saying...read the code descriptions for each. The codes are distinctly different, and your provider should report the code that best describes the procedure performed. I caution you on substituting one code for another. Insurance carriers have the right to alter payment based on policy provisions and the codes submitted but as (more)

I would advise my coders to assign D7300 because it is the corresponding code to the placement codes and was meant to remove a temporary device. In the CDT, it is found under the Oral Surgery section under Other Procedures. Implants placed for support of a prosthesis (D6010) have a different removal code (D6100) and (more)