Ask the Coder (539)

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.

Usually the post operative treatment will be considered inclusive in the primary procedure and therefore not billable. However, if the carrier allows a fee for the post-operative visit you may use D0140 limited oral evaluation.

No the CDC and CDBS exams are two different credentials. The Certified Dental Billing Specialist (CDBS) exam is for billers and covers aspects of billing. While the Certified Dental Coder (CDC) exam is more elite and covers code assignment and proper documentation.

Yes you may submit you add for review to support@adcaonline.org

CPT codes are only used when submitting claims to medical carriers on CMS 1500 forms, you do not use CPT codes for dental claims submitted to dental carriers on ADA2006 forms.

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)

D4211

This is really at the carriers discretion, the way the code reads D1110 is for removal of plaque, calculus and stains from the tooth structures in the permanent and transitional dentition. It is intended to control local irritational factors. An ultrasonic cleaning will by defination do the same as a prophylaxis, however, it is not (more)

You always bill any treatment performed to the carrier. If you utilize ICD-10-CM codes on your dental form the amalgam re-do should be covered please look at diagnosis codes K08.5 unsatisfactory restoration of tooth

The correct ICD-9-CM code for Cerebral Palsy is 343.9