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    I work in a multi provider practice. If a patient is seen by one dentist in our office and a treatment plan is developed, then seen in our practice by a different dentist for a second opinion on this treatment plan, what code is used for the second appointment?
    Admin May 7, 2014 5:01 am
    This depends on the documentation either D0140 or D0160 would be appropriate depending on the type of examination given and the "medical decision making".
    Admin
    asked 12 years ago by
    ADCA Admin
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    answer
    0
    Hello, How do I bill for code D3354 (pulpal regeneration)
    Admin April 11, 2012 8:00 pm
    This question is too vague, please clarify... Do you want the medical cross code? Do you want the billing guidelines on this code? Do you want a description of the code and it use? Please be more specific...
    Admin
    asked 14 years ago by
    ADCA Admin
    1
    answer
    0
    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 am trying to bill Medical for decalcification of teeth # 7,8,10,18 - Dr. wrote it has soft enamel gave them surface of DFL - but the teeth show no cavity just soft enamel . I'm trying to get this paid because the child is 16yrs of age and no financial support. how can I bill this ???
    Admin June 10, 2014 3:43 pm
    Medical carriers do not cover any type of composite fillings unless it is due to trauma or an accident. You can try to use CPT code 41899 and send a brief narrative with your claim.
    Admin
    asked 12 years ago by
    ADCA Admin
    1
    answer
    0
    We have recently employed a pediatric dentist. We are having general dentists, outside of our practice, referring patient's to us for treatment. In these cases, the general dentist have already done the patient's exam/recall. Which code is the most appropriate to use when our pediatric dentist initially examines the patient? We are unsure on whether to use an exam code or a consultation code. Do we code differently if we do the patients treatment or if we cannot do the treatment and have to refer them out ourselves?
    Admin June 24, 2016 7:28 am
    The most appropriate code for the pediatric dentist to use if the general dentist already used D0120, D0145, or D0150 would be D0160.
    Staylor2964
    asked 9 years ago by
    Shannon Taylor
    1
    answer
    0
    When charging for Biologic Materials, is it done per tooth, quadrant, or site?
    Admin January 3, 2012 7:28 pm
    This code is carrier driven meaning it is at the carriers discreation as to how they are going to pay. Having said that most carriers allow this code per tooth.
    Admin
    asked 14 years ago by
    ADCA Admin
    1
    answer
    0
    I work in a multi provider office. If one of our dentists refers to another dentist inside our organization for treatment such as a crown or Root canal treatment and a consultation is necessary to determine if the dentist can perform the treatment, what code do I use? This would mean that the dentist that is possible agreeing to perform the treatment wishes to clinically exam the area before scheduling the treatment. Does a code exist for this type of exam?
    Admin November 4, 2014 12:32 pm
    The appropriate code for a consultation performed by two seperate providers of the same office would be D0160.
    Admin
    asked 11 years ago by
    ADCA Admin
    1
    answer
    0
    what is the best source for guidelines on medicare billing and dental.
    Admin September 25, 2012 11:07 am
    Medicare has a handbook on correct billing guidelines for dental procedures: http://cms.hhs.gov/site-search/search-results.html?q=billing%20for%20manual%20for%20dental Article 140
    Admin
    asked 13 years ago by
    ADCA Admin
    1
    answer
    0
    How would you code the following? Patient presents to smooth off #9-ILF, chipped recently and originally placed 2 days earlier. Removed No decay, VOCO (prime/bond), Flowable Composite Shade: A2 finish, polish, checked occlusion.
    Admin June 17, 2016 7:46 am
    Since this was a restorative material failure and it was composite and codes only exist for crown, inlay, onlay, and veneer the most appropriate code would be D2999 with a brief narrative to accompany the claim.
    Admin
    asked 9 years ago by
    ADCA Admin
    1
    answer
    0
    I received a denied claim due to the DOS being past the time limit allowable (6 months). Does anyone have a good narrative to appeal this claim denial?
    Admin July 7, 2016 12:20 pm
    If this claim was denied due to timely filing an appeal is not going to change the outcome. You need to read your contractual obligation on claim submissions with the carrier and proceed according to their guidelines. If this claim was filed in a timely manner and had to be resubmitted then denied you have (more)
    Admin
    asked 9 years ago by
    ADCA Admin
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