Ask the Coder (539)

Depending on the diagnosis code you used their may be repercussions to the patient (i.e. if you placed a diagnosis of malignancy and it was benign) Once the claim is processed you will need to immediately put in for a claim correction with Medicare, they will usually ask you to use one of the forms (more)

The most appropriate code would be D7971 (excision of pericornal gingiva)

Typically this would be considered inclusive in the initial procedure, however, some carriers will allow you to code for a limited exam D0140.

The ADCA is coming out with an Oral Surgery specific course that will assist with coding and billing dental implants. This course is set to be released January 20, 2015. In the meantime you may check with Glidewell Dental Lab as they offer a course on billing dental implants.

You may only submit CE's in your members dashboard, please login to your dashboard. If you have a fourth tab that appears stating CEU you are eligible to submit if no tab appears you are not eligible to submit CE's at this time or you have acquired the correct amount of CE's for the year.

Usually this means exams,x-rays and cleanings only. However you should contact the carrier for specifics on what they consider to be included in "preventative & diagnostic " services.

You are only allowed to give a contracutal adjustment on insurance patients; if you are not charging the patient their co-pay or co-insurance amounts this is considered fraud. It is considered highly inappropriate!

The place of service code would depend on whether the patient was an inpatient or outpatient of the hospital Inpatient - 21 Outpatient - 22 Ambulatory Surgical Center - 24

76376 3D rendering with interpertation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality; not requiring image postprocessing on an independent workstation.