Ask the Coder (539)

Any patient who has not been seen by any provider in the same practice in over 3 years is considered a new patient.

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

Hi Raymond, You are never behind on our on-demand classes. I noticed you are using an aol email this is a Microsoft email and you may not receive login information. Please contact our Director of Education Mindi Rothans 800.300.0239 x105 to update your email and receive login instructions.

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.

If the explanation of benefits states there is a patient portion you may bill the patient their cost, however if the benefit is paid at 100% you may not bill the patient. The best option is to appeal the claim stating 14-22 films were not taken at this visit is was a pano and bitewings (more)

If you had to re-cement or re-bond the space maintainer the code would be D1550. If you had to place a new space maintainer the code would be D1999 accompanied by a brief narrative as to why the space maintainer had to be replaced.

Go to the website and click Certification - CDC

2016 books are required for all 2016 exams.

D0140

D5640