D4260 may be downcoded to D4261 due to periodontal charting . Isf full quad of surgery is done, is the patient responsible for the difference up to the full quad fee of the limited quad fee?
CAN I SENT A DENIAL TO THE MEDICAL CARRIER FOR PAYMENT WHEN A DENTAL CARRIER DENIED FOR FREQUENCY (PANO OR BIWINGS).
There are no restriction to bill these two codes together for the same DOS. However, you want to make sure you are include supporting documentation as to why you performed both procedures on the same day and the time involved. Make sure to include chart notes that document BOTH planning and scaling were performed, not just scaling. Indicate the patient has active perio disease and is in active perio treatment, include their perio condition Class I,II,III. Provide 1-3 teeth numbers for each quadrant planned and scaled, Document the remaining quadrants were not planned or scaled, that plaque, calculus and stains were removed for the remaining quads. Include perio chart, and FMX along with current BWXs if possible.
i have the 2022 code book and am having trouble finding it. Is it in the new book? if so where so i can see how it is in there.
Can you enter two separate restoration codes on the same day for the same tooth or is it correct to bill as a two surface restoration even though the restorations are not touching. For instance tooth #30 has occlusal but also separate buccal.
Provider extracted tooth and made an essix retainer with a fake tooth to cover gap
e.g. WDS plans will say
Fluoride toothpaste following periodontal procedure 100%. I've spoken to the company and they suggested D0999. The EOB note read: description for this treatment has a valid CDT code and does not match the submitted procedure code. What code would be correct code for Clinpro 5000 dispensed for take home?