Ask the Coder (539)

Yes, you may bill dental as a secondary carrier to the medical plan payment. You will need to change the code on the dental claim form and submit the EOB from medical along with stating the code description of CPT code in box 35 of the ADA claim form

D7321 Alveoloplasty not in conjunction with extractions, and D7285 incisional biopsy of oral tissue are considered separate procedures. As long as the documentation supports these codes (i.e. there is in fact an osseous lesion in the area of the Alveoloplasty) it would be appropriate to bill these codes out in the same visit. This would (more)

The following article will aide you in determining how to assign medical necessity for patients you believe to be high risk. Please click on the link or copy and paste into your browser: https://www.aapd.org/globalassets/media/policies_guidelines/bp_cariesriskassessment.pdf

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

To take the CDC course you would need to register for the class. These are on-demand meaning you start the moment you register. To register for the CDC course please go to https://www.adcaonline.org/education/online-class

No! Whatever procedure the doctor performs must be within his contratual guidelines. Meaning if he charges the patient an extra fee he must report that fee to the carrier, otherwise, this maybe considered a form of fraud.

According to insurance guidelines the plan that has been in effect the longest would be the primary plan. If he is still insured and eligible under his fathers plan that plan would be considered primary and his wife's insurance would be secondary. Now if he is no longer eligible under his father's plan his wife's (more)

The correct ICD-9-CM code is 525.19

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

For a child under 3 years of age you should use D0145, for children over the age of 3 you should use D0150