Ask the Coder (539)

It depends on your contract with the insurance company. If the EOB states you can charge the difference, then you can. If it does not, then you cannot. Most insurances will let you charge the difference of the MAC of the submitted charge and the payment of the downgraded code. But if you are in (more)

Today we began treatment on a patient to replace PFM crown with new one. After the old crown and decay was removed (75mins into the appointment) it became clear that the tooth was non restorable and was referred for extraction. What code can we bill for the time spent in the chair? what code to (more)

The most appropriate code would be D7970

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...

This is considered the same as a diagnostic. Therefore, the appropriate code would be D0470

You would bill D0145 until the child turns 3 years of age, this code is specific to oral evaluations for under 3. Then bill D0150 at 3 years of age and D0120 every visit after.

I think yes he can charge you. D9310 is consultaion- diagnostic service provided by dentist or physician other than requesting dentist or physician. It means a patient encounter with a practitioner whose option or advice regarding evaluation and or management of a specific problem may be requested by another practitioner. The consultation includes an oral (more)

If a tooth is extracted should D7956 Guided tissue regeneration be used, or is this only for when the tooth is already missing

The best code would be D7530 (removal of foreign body).

No