Ask the Coder (560)

D2980 crown repair necessitated by restorative material failure A repair to a crown because the material used to make the crown cracked, chipped or broke.

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)

No. A tooth number is not required for this code, as this service is not pertinent to a tooth. D7410 is the excision of a lesion from the inside of the mouth. The length of the lesion is required in order to select the code, however. D7410 excision of benign lesion up to 1.25 cm

Hi, Which are you submitting? The missing tooth or the crowns?

CDT code D0363 that was used for cone beam three dimensional image reconstruction has been deleted.

In order to bill medical insurance, you would need to contract/use an online company to bill medically or purchase a stack of CMS-1500 forms and complete the forms in your office to send to the insurance company. You would also need to be sure that you have a CPT code book and ICD-10-CM code book (more)

The best narrative to submit is the one the provider wrote in the chart as to why the patient needed nitrous oxide CDT code D9230. If nitrous was used in behavior management it should be accompanied with code D9920, below is an explanation of when behavioral management should be used. D9920 is to be used (more)

Yes

This can be reported twice if both upper quadrants are augmented. I would recommend sending documentation to support both the UL and UR quadrants so there is no question as to overbilling the procedure. See Coding Companion 2022, Clinical Coding Scenario #3 on page 215 for verification. This procedure is performed to increase the alveolar (more)

Please be more specific in your question, as there is no current code for intraoral scan. What type of scan and why is it being preformed? Example intraoral cancer scan/screening ?