Ask the Coder (540)

D1206 Topical application of fluoride varnish D9910 Application of desensitizing medicament D9911 Application of desensitizing resin for cervical and/or root surface, per tooth hope this helps

Medical cross codes for examinations are based off documentation, there is no way to cross code this without seeing the documentation in the chart please refer to your CPT coding manual to select the most appropriate code; Examination code ranges: New patient 99202-99205, Established patient 99212-99215 As for the rest cross codes are as follows: (more)

Yes it does because they are putting in a bridge or bridgework.

Yes, these codes may be used together.

A prophy should not be billed out on the same day as scaling and root planing. The SRP should be preformed and a week or two later the patient should return for a prophy.

I agree. D9310 would be the correct code for this service. D9310 consultation - diagnostic service provided by dentist or physician other than requesting dentist or physician; A patient encounter with a practitioner whose opinion or advice regarding evaluation and/or management of a specific problem; may be requested by another practitioner or appropriate source. The (more)

The problem here is fax back eligibility does not guarantee payment from the carrier it merely states to the best of their knowledge the patient is active and eligible for treatment under the plan. You may try to appeal this decision by refiling the claim and sending in fax back proof of eligibility at time (more)

There is not a separate code for toothbrush deplaquing. This service would be included in the prophy code, either D1110 (adult) or D1120 (child).

D5640

You should use the standard medical form CMS-1500 when submitting any claim to Medicare. The code used should be 41899 for the extractions accompanied with the correct ICD-10-CM code. It would also be beneficial to send in the request from the oncologist requesting the extractions. Make sure you write in box 19 of the CMS (more)