Ask the Coder (550)

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)

Question 1: No you may not charge an additional charge for the wax work-up it is considered inclusive of the initial procedure. Question 2: No you may not pass the expense onto the patient. The lab fees may not be charged in addition to the initial procedure.

Tomography without contrast 70486 with contrast 70487 3D rendering 76376-76377

The appropriate code for post-operative visits is D0171

12 CEU's are due at the end of each year regardless of when your membership fee's/renewal is due.

The correct ICD-9-CM code for tobacco user, active smoker is 305.1

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

CEU's are not required

Each carrier has there own set criteria, however, in general the following must be present. 1. pocket depths must be 4mm-5mm or higher 2. Bleeding must be present 3. Gross plaque and/or calculus present 4. Either periodontal surgery was performed or full mouth debridement prior to RPS

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