Ask the Coder (544)

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.

The general dentist should be using CDT codes D0150 for the exam provided he is documenting and completing a through exam; otherwise D0140 is the most appropriate code and D0330 for the panoramic film. The specialist should bill D0160 provided an exam is "medically necessary" from the specialist and documentation is supported.

You would charge this code one time as the code description clearly states (odontoplasty 1-2 teeth), since you have two teeth involved and they are side by side you would get this code one time only.

What if after crown removal the tooth is deemed unrestorable and ext and implant are reccommeded?

Without knowing the specifics of what he plans to do (i.e. clean out infection, remove non-vital bone, ect.) the most appropriate code is D4999. This code must be accompanied by a narrative describing the procedure.

It depends on what treatment you will be performing after you remove the old crown, will you be extracting the tooth, replacing the crown, putting in an implant...your question requires more information.

Some carriers may consider this inclusive as the doctor removing the bone spicule was the one who removed the tooth initally. However, if the carrier allows the charge you would code it as D7530 (removal of foreign body) due to the fact that a bone spicule by defination is a small sliver of bone that (more)

Yes, you may use D1352. However, you must meet coding guidelines on this code. Meaning you must be able to prove the patient is moderated to high risk caries patient and needs the sealant placed to reduce the risk of further caries.

No, you may not bill this to the insurance. Coding guidelines clearly state topical flouride varnish must be delivered under the direct supervision of a dental professional and delivered in the dental office.