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    This patient's insurance coverage is listed as "preventive/diagnostic only" - so what will that cover?
    Admin May 5, 2012 9:58 am
    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.
    Admin
    asked 14 years ago by
    ADCA Admin
    1
    answer
    0
    The dentist is work for but do not do billing for on his ortho cases bill the insurance company to maximize the patients benefits then gives a patien a discount so they do not have to pay the whole amount what is left due. Is that type of billing appropriate?
    Admin April 22, 2013 10:58 am
    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!
    Admin
    asked 13 years ago by
    ADCA Admin
    1
    answer
    0
    If a person's dental and medical plan are by the same carrier and dental paid a certain amount toward three D7111's but would not cover the sedation (non-IV) portion D9248 how would I submit this as a medical claim? Which CPT codes are equivalent and can this even be done after dental already paid a portion. Do I only include the code that was not a covered benefit? Thank you
    Admin September 10, 2013 1:11 pm
    You will need to submit the claim to medical on a CMS-1500 form and attach a copy of the dental EOB to the claim. You will use CPT code 41899 in place of the D7111. For the D9248 you will need to list the drugs used and their appropriate HCPCS code.
    Admin
    asked 12 years ago by
    ADCA Admin
    1
    answer
    0
    Good morning,i want to know if i am appearing for CDC exam in October 2016, i should purchase 2016 coding books or 2017? Which month the books are effective.
    Admin July 23, 2016 11:12 pm
    2016 books are required for all 2016 exams.
    Admin
    asked 9 years ago by
    ADCA Admin
    1
    answer
    0
    If dentist does procedures in operating room should the place of service be 22?
    Admin January 1, 1970 12:00 am
    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
    Admin
    asked 9 years ago by
    ADCA Admin
    1
    answer
    0
    Can you explain what the criteria for a D4341/D4342 needs to be in order to allow this code to be billed. For example, what does the pocket depths need to be? How many need to be at that level.
    Admin October 9, 2012 8:21 am
    Each carrier has there own set criteria, however, in general the following must be present. 1. pocket depths must be 4mm-5mm or higher 2. Bleeding must be present 3. Gross plaque and/or calculus present 4. Either periodontal surgery was performed or full mouth debridement prior to RPS
    Admin
    asked 13 years ago by
    ADCA Admin
    1
    answer
    0
    Hi Can you tell me how many CEU to maintain for active membership? thanksCindy
    Admin September 5, 2014 12:29 pm
    The association requires 12 CE's per year...these CEU's must be uploaded to your members dashboard under the submit CEU's tab before December 31st of each year.
    Admin
    asked 11 years ago by
    ADCA Admin
    1
    answer
    0
    Good afternoon, where can i buy this coding books for CDC exam. i stay in Doha-Qatar where i cannot find this books. Can you help me in buying books. Thanks
    Admin October 27, 2016 5:08 am
    We suggest Amazon.com for all coding manuals
    Admin
    asked 9 years ago by
    ADCA Admin
    1
    answer
    0
    If a patient is present for a filling but decides he does not want to accomplish the planned procedure and would like to address the fact that the patient needs a complete upper denture. The treatment plan was already completed which includes the complete upper denture. The patient is given a referral to an outside prosthodontist and X-Rays were taken. The patient has Medicaid dental and only X-Rays can not be charged out per Medicaid rules. Is there another appropriate code that can be used in conjunction with the X-Rays that describes a limited exam and referral given?
    Admin May 7, 2014 5:06 am
    The limited exam would be billed out at D0140.
    Admin
    asked 12 years ago by
    ADCA Admin
    1
    answer
    0
    WE HAVE AN I-CAT 3 D IMAGE MACHINE. WE TAKE TOMOGRAPHS AND 3 DIMMENSIONAL X-RAYS TO FIND OUT IF THE PATIENT HAS ENOUGH BONE FOR DENTAL IMPLANTS. . DENTAL INSURANCE DOES NOT COVER THIS X-RAY. I WAS TOLD MEDICAL CAN COVER IT. WHAT CODE WILL I USE?
    Admin March 1, 2012 9:51 am
    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.
    Admin
    asked 14 years ago by
    ADCA Admin
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