Ask the Coder (542)

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.

You may only code those teeth that are diseased and involved. From your description above it appears to be 1-3 teeth, therefore CDT code D4261 would be the most appropriate code.

D4211

No, you must adhere to the contractual obligation set forth by the insurance carrier.

You need to find out a few details first. If the patient is the subscriber of both plans; the plan that has been effective the longest is primary. You will need to send eligiblity reports showing the carrier who has been effective longer both eligiblity reports. If the patient is the subscriber on one and (more)

It is not a good idea to take x-rays after a cleaning (D1110) for the fact you just stated above. If a patient has moderate to severe plaque/claculus you want it visible on the x-ray. In order to bill root planning/scaling D4341/D4342 you need to the following; 1. Indications of moderate to severe calculus 2. (more)

The first question you need to ask would be "Why is an Endodontist performing a 6 month check-up?" If it is to check the status of a RCT performed on a patient, this is typically considered inclusive. None-the-less, since there is no specific examination code for a 6 month check-up from an Endodontist and no (more)

NO, a biller can not make a correction in the doctor's note. Any and all corrections must be made by the rendering provider.