Ask the Coder (539)

The book and the exam instructions come instantly in an email after purchase...if you did not receive this information please check your spam folder. The email comes from Word Press...if it is not there please contact an ADCA representative at 800.300.0239

Please send an email to support@adcaonline.org to resolve this matter immediately.

You may purchase a book through the National Dental Advisory Service called Comprehensive Fee Report. There website is www.ndas.com

The limited exam would be billed out at D0140.

You should be using ADA 2012 forms effective October 1, 2015.

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.

2016 books are required for all 2016 exams.

This procedure is dependent on utlization review by each individual carrier... the majority of carriers allow this on teeth that have 5mm pocket depth or more or have severe.chronic gingivitis.

If a full mouth debridement was performed you should use CDT D4355.

If a patient has been seen in the office in the past 3 years by any provider in the practice they are considered an established patient. It does not matter if you are billing medical or dental. To answer your question specifically you would use and established patient E/M code,