Ask the Coder (539)

According to ADA 2011-2012 code sets this is a valid code and may be used.

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.

No, in order to bill for a D1120 removal of plaque, calculus and stains from the tooth structure must be performed with a prophy angle not a toothbrush.

According to NY State Medicaid Dental Procedures and Code Guidelines, it does not state that an exam and cleaning must be preformed on the same visit. However, in most instances it is preferable to have the cleaning, exam and x-ray performed at the same time. There is no right or wrong on this particular issue.

This would not be appropriate as a D0180 covers similiar aspects as a D0150. Having both of these exams performed within a couple of weeks may raise a concern with the insurance carrier. Having said that as long as the documentation is clear, present and the exams are necessary there is no rule stating you (more)

Your CDT or HCPCS code range would be D5931-D5932 or D5936. D5931 Obturator prosthesis, surgical ( This is used as a temmporary prosthesis during or immediately following surgery and is typically utilized for 6 months to aid in healing.) D5932- Obturator prosthesis, definitive (this is intended for long term use) D5936- Obturator prosthesis, interim (Made (more)

Yes, you are correct. This answer was for an office that has a lab in house. If you are sending the impression to an outside lab you will only utilize CPT 99002, however, if you have a lab in house you will utilize 21089. Thank you for your correction.

There are two different methods for external bleaching, the first is to have the dentist take impressions of the patients teeth so that custom trays (specifically for bleaching) can be made. When the trays are completed, you give the trays and a bleaching kit to the patient to take home so that they can bleach (more)

Size does not matter it is the picture being taken that matters.

This code is carrier driven meaning it is at the carriers discreation as to how they are going to pay. Having said that most carriers allow this code per tooth.