Ask the Coder (516) All questionsAnswered questionsUnanswered questions >« Back to Full Questions ListAnswersViewsQuestion1answer66views A patient's dental insurance was billed for 3rd molars and sedation. Insurance charged and paid as follows: D7230 x4 $350; D9241 $300; D9742 $75 for a total of $1775. Dental insurance subtracted the $50 deductible and then paid @ 50% or $862.5 leaving the patient with a balance of $912.50. MY QUESTION THEN is WHAT codes do we use to charge his medical insurance?Also, should we have charged medical insurance first?THANK YOU!1answer46views How would you bill for a sleep apnea device to be used in conjunction with a CPAP machine to medicare? I have been using a 1500 form using dx: 327.23, 780.57,& 286.09. New office visit 99203 & E0486. With a description of the E0486. Should both of these codes be payable by Medicare and/or commercial insurance payers? Or am I billing this incorrectly?1answer62views What is the dental code for medical code 20900? Thanks!1answer33views I am new to orthodontic and dental billing. The patient may have a 27-month or 30-month treatment, but our office likes to have the bill paid in 24 months. So the private pay part is divided up, % down and 24 monthly payments. In submitting claims for insurance, I have seen others put in the number of months of treatment remainnig (box 42 J400) accurately as 27 or 30, but then put the code, total case fee, initial banding fee, and something like "24 months to be billed at $____ per month." Is it okay to bill insurance this way?1answer42views What are the rules to billing medical carriers and how do you determine diagnosis codes required?1answer69views I need help with coding for a therapeutic drug injection, I was told to use CPT 96374, however this keeps being rejected as apart of the global code for my anesthesia 00170; where on my CMS-1500 do i specify what kind of drug this is so that it will be paid? I have found J code J1100 for decadron but do not know where on the claim form it should be listed. Thanks1answer730views D0350- Are more and more providers using this code for diagnostic purposes, if so why?1answer516views I need more clarification on Code D9951 (Limited Occlusal Adustment - Limited) I see in my ADA CDT book it states it is not supposed to be used when the procedure is for a bite adjustment when doing it post-delivery of something such as a crown/bridge. Is there another code to use when the doctor adjusts the bite after delivery or should it relate with another code? Thanks!1answer458views I am trying to code for an immediate full implant supported hybrid denture for an upper arch and I am unsure of which codes to use. The oral surgeon will be providing the implants and multiunit abutments and I will be providing the prosthesis. I believe CDT code D6078 is for the abutment supported fixed denture. I cannot find the code for the temporary immediate prosthesis. Is there a separate code? Are there other codes I need to be using for this case? Thank you in advance!1answer30views I have two claims for crowns that have been denied - two separate patients, one insured with MetLife, the other Principal. I have been through one appeal with MetLife and two appeals with Principal. I have never had claims denied for lack of necessity. They were necessary and obviously I did not provide the correct documentation/narrative. I would appreciate any help getting insurance benefits for these two patients. Thank you, Beverly Knight « Previous 1 … 3 4 5 6 7 … 47 Next » Ask a Question