Ask the Coder (563)

RSP must be done on a separate visit. It is not billable in conjunction with periodontal maintenance or a prophy.

Yes, you may bill dental as a secondary carrier to the medical plan payment. You will need to change the code on the dental claim form and submit the EOB from medical along with stating the code description of CPT code in box 35 of the ADA claim form

No, this is not within the scope of practice for a dental hygienist. The dentist must be present and review the documentation as well as add to the documentation to make this a valid billable code.

Patient/Provider termination letters may be found in the forms section of your members dashboard

Well truly, medical should be billed first. Also, the answer is going to depend on if the service is covered under the patient's medical plan. Since it's a pano or bitewing... it's likely that it will not be covered medically. If it is... be sure that you have a good medical diagnosis to support the (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.

The problem here is fax back eligibility does not guarantee payment from the carrier it merely states to the best of their knowledge the patient is active and eligible for treatment under the plan. You may try to appeal this decision by refiling the claim and sending in fax back proof of eligibility at time (more)

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

Hi, Which are you submitting? The missing tooth or the crowns?

CDT code D0363 that was used for cone beam three dimensional image reconstruction has been deleted.