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    We use code D9230 for Nitrous Inhalation, can we also use D9248 for Halcion administration or would it be better to use D9920 Behavior modification w/ a narrative for a patient that has high anxiety before and during a dental procedure?
    Admin August 17, 2011 8:26 pm
    D9230 is an appropriate code for Nitrous Oxide Inhalation, and D9248 would be the most appropriate for Halcion.
    Admin
    asked 15 years ago by
    ADCA Admin
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    When filing dental insurance for a crown, D2751, and we are not providers with the insruance nor do we have any agreements whether to file on prep or seat date, doesn't the ADA recommend we file our claim on the prep date?
    Admin August 5, 2011 7:54 am
    According to the ADA it is acceptable to submit a claim for services on the prep date, however, most carrier guidelines require the claim to be submitted on the seat date. Whether you are contracted or not has no bearing on how a carrier pays a claim, they will follow their particular guidelines on reimbursement. (more)
    Admin
    asked 15 years ago by
    ADCA Admin
    1
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    0
    I found the code for smoothing a tooth (odontoplasty D9971), can I use that code in conjunction with palliative treatment D9110?
    Admin August 5, 2011 5:39 am
    As long as it is not in connection with the same tooth, most carriers will not allow any other codes in connection with D9110 other than radiographs (x-rays).
    Admin
    asked 15 years ago by
    ADCA Admin
    1
    answer
    0
    Good Morning. I need a code for smoothing a tooth. I know that there is one, but I can't remember where it is.
    Admin August 5, 2011 5:35 am
    D9971 Odontoplasty 1-2 teeth; includes removal of enamel projections.
    Admin
    asked 15 years ago by
    ADCA Admin
    1
    answer
    0
    When the doctor notes two separate areas of decay on a single tooths O surface, for example spotting decay on a molar tooth and the doctor calls out "O, and OL", how should we file this?Similar situation when there is decay on the O, and the doctor wants to seal up the groove and completes a connected OL & OB composite. Should it be filed this way, as two - two surface fillings or is it a 4-surface filling? Or should it just be considered an O filling, even if the doctor fills any remaining L or B grooves? We had a lot of confusion on this!
    Admin July 29, 2011 9:04 am
    If the filling is solely on the Occusal surface it is considered a 1-surface filling regardless of the location of the decay. Example: If the doctor drills into the occlusal surface and the lingual surface of the tooth then it would be considered a 2-surface filling, if he drills into the occusal, lingual and buccal (more)
    Admin
    asked 15 years ago by
    ADCA Admin
    1
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    0
    Another question about code D9951 (Occlusal Adjustment - Limited). If the doctor does both upper and lower adjustments in one visit, should it be entered twice or does this code cover upper or lower as well as upper and lower? Thanks!
    Admin June 23, 2011 7:46 am
    This code is to be used on a per visit basis, some carriers will allow for it to be billed per quadrant while others consider it to be a one time billable charge. You need to review your carrier contracts for exact usage.
    Admin
    asked 15 years ago by
    ADCA Admin
    1
    answer
    0
    I need more clarification on Code D9951 (Limited Occlusal Adustment - Limited) I see in my ADA CDT book it states it is not supposed to be used when the procedure is for a bite adjustment when doing it post-delivery of something such as a crown/bridge. Is there another code to use when the doctor adjusts the bite after delivery or should it relate with another code? Thanks!
    Admin June 22, 2011 8:27 am
    According to coding guidelines an adjustment done post delivery of a crown or bridge is included in the original fee and is not billed seperately, unless the adjustment is being done more than 30 days after the initial delivery.
    Admin
    asked 15 years ago by
    ADCA Admin
    1
    answer
    0
    I am new to orthodontic and dental billing. The patient may have a 27-month or 30-month treatment, but our office likes to have the bill paid in 24 months. So the private pay part is divided up, % down and 24 monthly payments. In submitting claims for insurance, I have seen others put in the number of months of treatment remainnig (box 42 J400) accurately as 27 or 30, but then put the code, total case fee, initial banding fee, and something like "24 months to be billed at $____ per month." Is it okay to bill insurance this way?
    Admin June 19, 2011 1:51 pm
    You always want to fully disclose to the insurance company how a contract or treatment is being proposed or paid for by the patient. Yes, it is ok to bill this way!
    Admin
    asked 15 years ago by
    ADCA Admin
    1
    answer
    0
    I need to find out how to code for 3rd molar extractions on the CMS-1500 claim form.
    Admin January 1, 1970 12:00 am
    Third molars are coded in box 24 D of the CMS form It should look like this: 41899 UL 41899 UR 59 41899 LL 59 41899 LR 59 The UL, LL, LR & UR are placed in the first modifier field, the 59 is placed in the second modifier filed and is appened to the (more)
    Admin
    asked 15 years ago by
    ADCA Admin
    1
    answer
    0
    what is the best icd 9 code for an amalgam tattoo?
    Admin May 11, 2011 10:06 am
    The code is located by going to the alphabetic index and looking up the main term Discoloration, from there you will look up the subterm mouth and it give you ICD-9 code 528.9
    Admin
    asked 15 years ago by
    ADCA Admin
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