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Do two quads of D4342 qualify for D4910?
oknightsims October 23, 2023 11:24 am
I will start by saying...read the code descriptions for each. The codes are distinctly different, and your provider should report the code that best describes the procedure performed. I caution you on substituting one code for another. Insurance carriers have the right to alter payment based on policy provisions and the codes submitted but as (more)
asked 1 year ago by
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Is D7300 considered oral surgery or an implant?
oknightsims October 23, 2023 11:39 am
I would advise my coders to assign D7300 because it is the corresponding code to the placement codes and was meant to remove a temporary device. In the CDT, it is found under the Oral Surgery section under Other Procedures. Implants placed for support of a prosthesis (D6010) have a different removal code (D6100) and (more)

asked 1 year ago by
Anonymous
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Would this be something we could bill to insurances and Medicaid patients IF we tell them upfront that they will need to pay for that part of the service? Or, is there an obscure code that we can utilize to collect on behalf of waste fees?
asked 1 year ago by
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Pt seen to stablish care. Procedure code used D0150 the next day patient seen for a limited examination D0140 and extracted a tooth. I am curious if this will be considered over charging on exams, as pt just had a comprehensive exam the day before.
Angela Miller October 25, 2023 6:49 am
If these two had taken place weeks apart, I think it would be fine. Doing a comprehensive one day and a limited the next day, my question as an auditor was the extraction planned on the D0150 exam and scheduled for the next day? If so, the D0140 I would say is overcharging unless you (more)
asked 1 year ago by
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how many fillings is standard for dentists to do in one sitting?

asked 2 years ago by
Anonymous
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I was charged code D4266 by my dentist and my insurance changed it to code D7956 and they covered it. I had to pay out my pocket for code D4266. Should I ask for a refund for the D4266 charge?
Danielle May 17, 2024 7:37 am
If a tooth is extracted should D7956 Guided tissue regeneration be used, or is this only for when the tooth is already missing
asked 2 years ago by
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What is the CDT code for uprighting a tooth specifically a 2nd molar? I believe there are 2 codes associated. Reference chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.kravitzorthodontics.com/assets/pdfs/Surgical_Uprighting_JCO_1.pdf
asked 2 years ago by
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What is the appropriate code for a patient who presents for an appointment but had to be rescheduled since they forgot to take their premedication antibiotics? No treatment was performed.
Anonymous July 13, 2023 6:39 am
D9986 or D9987.
asked 2 years ago by
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What is the appropriate code for a patient who presents for an appointment but had to be rescheduled since they forgot to take their premedication antibiotics? No treatment was performed.t performed office visit
oknightsims October 23, 2023 10:58 am
CDT 9987 reports a cancelled appointment. The CDT description does not indicate whether or not the procedure has been cancelled by the provider or patient. If you are not using the code to charge a fee for cancelled appointments, then it would be appropriate. Of course the notes should show why the appointment was cancelled. (more)
asked 2 years ago by
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Due to limitations within the CDT code structure, the concept of a Professional and technical fee has not gotten the attention it deserves. Unfortunately, anesthesia reimbursements and cases for medically necessary Dentistry, not OMF, are not payable...
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