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Question
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 4 years ago by
Admin May 7, 2019 2:54 pm
D5282 removable unilateral partial denture one piece cast metal (including clasps and teeth), maxillary Yes, this code requires either a tooth number or quadrant to accompany it on the claim form.
asked 7 years ago by
Pt has an existing partial denture which some teeth are really worn out and Dr. wants to replace them.
Zienab.k.elmalik October 11, 2021 4:11 pm
D5640
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 4 years ago by
Admin April 21, 2017 9:55 am
Please send an email to support@adcaonline.org to resolve this matter immediately.
asked 9 years ago by
Admin April 26, 2017 8:39 am
The following article will aide you in determining how to assign medical necessity for patients you believe to be high risk. Please click on the link or copy and paste into your browser: https://www.aapd.org/globalassets/media/policies_guidelines/bp_cariesriskassessment.pdf
asked 9 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 7 years ago by
iflores October 12, 2021 8:37 am
Thank you for your answers. I am still confused. Could I use code D5640 Replace broken teeth? even if the teeth are not broken? they are just worn out. please help clarify
asked 4 years ago by
Staylor2964 January 21, 2022 8:50 am
D1206 Fluoride Varnish can be appropriate for any person no matter their age. That being said, most insurances will not pay for adults to have D1206. It is best to communicate to the patient they will likely be responsible for the cost of the D1206. There would be two reasons to apply D1206 to a (more)
asked 4 years ago by
Admin May 4, 2017 9:22 am
What I believe you are asking is can a dentist document in the patients chart for another dentist? The answer is simply NO the dentist who provided the service must document . The only time another dentist may provide the documentation is if he/she was present at the time of procedure or examination and aided (more)
asked 9 years ago by
