Ask the Coder (539)

Thank you for your answers. I am still confused. Could I use code D5640 Replace broken teeth? even if the teeth are not broken? they are just worn out. please help clarify

Root tip removal should be coded using D7250 removal of residual tooth roots.

No. A tooth number is not required for this code, as this service is not pertinent to a tooth. D7410 is the excision of a lesion from the inside of the mouth. The length of the lesion is required in order to select the code, however. D7410 excision of benign lesion up to 1.25 cm

The best narrative to submit is the one the provider wrote in the chart as to why the patient needed nitrous oxide CDT code D9230. If nitrous was used in behavior management it should be accompanied with code D9920, below is an explanation of when behavioral management should be used. D9920 is to be used (more)

D2980 crown repair necessitated by restorative material failure A repair to a crown because the material used to make the crown cracked, chipped or broke.

Virginia will pay for dentures for adults. It does have to be pre-authorized. Most of the time they are approved.

Please send an email to support@adcaonline.org to resolve this matter immediately.

This can be reported twice if both upper quadrants are augmented. I would recommend sending documentation to support both the UL and UR quadrants so there is no question as to overbilling the procedure. See Coding Companion 2022, Clinical Coding Scenario #3 on page 215 for verification. This procedure is performed to increase the alveolar (more)

CDT code D9110 is typically inclusive of the extraction and therefor will be rejected when submitted at the same time as an extraction. As for the other code D01240 this code does not exist. If the code you were intending is D0120 that would be an inappropriate code as well, since the patient is coming (more)

In order to bill medical insurance, you would need to contract/use an online company to bill medically or purchase a stack of CMS-1500 forms and complete the forms in your office to send to the insurance company. You would also need to be sure that you have a CPT code book and ICD-10-CM code book (more)