Ask the Coder (423)

The rules to billing medical carriers are defined within your contracts and vary from carrier to carrier, you need to review your contracts or review the guidelines found in your CPT manual. As for determining diagnosis codes these must come from your doctor, you as a coder/biller may not determine what diagnosis is appropriate. Once (more)

The appropriate code for the extractions would be 41899 with the use of modifiers, so your claim would look something like this; 41899 UL 41899 UR 59 41899 LL 59 41899 LR 59 The modifiers UR, UL, LL, LR indicate the quadrant, while the modifier 59 alerts the carrier that these are seperately identifiable procedures (more)

Since this is a problem focused exam and only a follow-up the appropriate code would be D0140. If this was the initial visit for the appliance the appropriate code would be D0160.

The difference is quite simple CDT code D1203 Topical Fluroide is used for children who are not at a high risk of developing caries. While CDT code D1206 was created for patients who are at moderate to high risk of developing caries due to systemic disease, medications they are taking or other conditions. You should (more)

The only CPT code available at this time is the unlisted code 41899, you should utilize this code along with ICD-9-CM code 520.1 for (Supernumerary teeth).

D7951 is used for augmentation of the sinus cavity to increase alveolar height for reconstruction of edentulous portions of the maxilla. It includes obtaning the bone or bone substitute. Most common diagnosis code for this procedure would be 525.25 (moderate atrophy of maxilla) or 525.26 Severe atrophy of maxilla. If the doctor was placing an (more)

I have not reviewed the book personally, however, PMIC is a great company. I do know that they have backing from the AAOMS for the book so it must hold some validity.

According to the ADA D0470 diagnostic casts are billable anytime diagnostic aides are needed or required for the treatment of specific procedures (i.e. orthodontia, TMJ disorders, Orthognathic Surgery, etc.). This code would be inappropriate for impressions and bite registration if diagnostic casts are not created. Impressions and bite registration would be considered an inclusive part (more)

D7950

Dental code D7950 Medical code 20902