Answers
Question
If a dentist sees a red or white lesion during a 150 exam and wants to re evaluate the pt in 2 weeks, is she/he allowed to use D0170 code? Will the insurance deny it? Thank you so much!
Zienab.k.elmalik January 23, 2022 9:57 am
Yes
asked 3 years ago by
Admin May 10, 2019 3:07 pm
Yes, as long as the codes were not billed out on the same day or the procedure performed on the same day.
asked 6 years ago by
asw0929 May 4, 2022 8:18 am
Since they are a requirement by some insurance companies on the CMS-1500 form I would say that it is also a good idea to enter them on the UB-04 form, but I cannot find documentation that states that it's a requirement. You might want to check with the insurance carrier to be sure.
asked 3 years ago by
Admin January 27, 2017 8:44 am
By report means you must send in a dictated report from the dentist on the procedure and how it was preformed, along with the claim submission.
asked 9 years ago by
Patient presents for extraction of tooth #32. Dentist is able to remove coronal portion, but unable to remove roots. Also, surgical handpiece used to remove bone. Patient is coming back in 3-4 weeks to try and get roots removed. How should we code th...
kmoney October 25, 2021 1:50 pm
There is a not a CDT code to be used for an extraction of an erupted tooth, that is incomplete. In this case you would use the code D7999 for unspecified oral surgery procedure, by report”. If that code is set to $0.00 be sure to put a dollar amount. You would then bill that (more)
asked 4 years ago by
A patient presented with chief complaint of pain on a single tooth. I evaluated the tooth and took an xray/PA. I did not do any treatment that day. Was I correct to use D0140 and D0220 for the appointment? Or should I have used D9110?
RCM Expert November 16, 2022 11:20 am
D9110 is for an emergency palliative treatment. D0140 is to exam a problem focused area. Usually D9110 is for a same day emergency appt and you may only exam, take an X-ray, prescribe Rx or an open and drain to alleviate immediate pain. If this was an appt set up a week or days in (more)
asked 3 years ago by
Admin May 15, 2019 11:41 am
D9930 - Dry socket
asked 6 years ago by
D4260 may be downcoded to D4261 due to periodontal charting . Isf full quad of surgery is done, is the patient responsible for the difference up to the full quad fee of the limited quad fee?
asw0929 May 15, 2022 7:44 pm
You're stating that the insurance downcoded the procedure based upon the evidence of the perio chart? It would depend on if you are in network or out of network with the insurance company as to how they process the difference when they downcode the procedure. If you are in network, it's likely that they process (more)
asked 3 years ago by
CAN I SENT A DENIAL TO THE MEDICAL CARRIER FOR PAYMENT WHEN A DENTAL CARRIER DENIED FOR FREQUENCY (PANO OR BIWINGS).
asw0929 May 16, 2022 7:44 pm
Well truly, medical should be billed first. Also, the answer is going to depend on if the service is covered under the patient's medical plan. Since it's a pano or bitewing... it's likely that it will not be covered medically. If it is... be sure that you have a good medical diagnosis to support the (more)
asked 3 years ago by
Anonymous
Admin May 25, 2017 1:29 pm
CEU's are not required
asked 8 years ago by
