Ask the Coder (539)

Most likely Medicare will not cover this procedure, you may contact Medicare and see if they will pre-authorize the procedure based on the systemic disease (cancer) and the need for a prosthesis to return normal functionality of chewing.

CEU's may be submitted starting June 1st of each perspective year...you must sign into your members dashboard and select the "upload CEU" button.

Medicare is never automatically the primary insurance carrier for any state, you must determine what coverage the patient has and determine who is the primary carrier. Let's say for example the patient has a working spouse with crediable coverage through Cigna, in this instance the patient's primary carrier would be Cigna and Medicare would be (more)

You may not collect more than the UCR fee for the service provided. If both primary and secondary paid the write off would come from the primary payer.

If they are new to the practice 99203, if the patient is established 99213. Please note the documentation MUST be complete to meet these levels of service.

Hello! D9222 and D9223 are billed specifically in 15 minute increments, so if it is under 30 minutes, it is not recommended to bill for both D9222 and D9223 (total of 30 minutes) if only 20 minutes of sedation were performed.

The appropriate way to submit the claim would be to have the attending provider’s information in box 45-52a and the treating/resident/hygienist information placed in box 53-58 of the ADA 2012 claim form. You may submit the claim with the hygienist or residents NPI number only as long as the attending has both NPI and license (more)

The appropriate code for post-operative visits is D0171

This question is to vague please give more detail...

No, the provider must document clearly each day what was done and each day needs to be signed off on.