Ask the Coder (541)

Yes, the patient's policy should be primary. There would be only one exception if both carriers abide by the policy that has been in effect the longest then the mother's policy would be primary.

No, you may not bill this to the insurance. Coding guidelines clearly state topical flouride varnish must be delivered under the direct supervision of a dental professional and delivered in the dental office.

In dentistry, an inlay is an indirect restoration (filling) consisting of a solid substance like gold or porcelain and is fitted directly to a cavity in a tooth then cemented into place. An onlay is the same as an inlay, except it extends to replace a cusp. So to answer your question, yes, if it (more)

Yes they may bill the D code to medical as there is no compatiable CPT code for fluoride varnish. As for reimbursment of this procedure to medical providers there is no statistical data to prove one way or the other as of yet. It is completely upto the individual carriers.

We do not train on software as there are to many out there...your best option is to contact the vendor (Emdeon) and ask them if they have a demo version for you to use.

The CDC exam uses ICD-10-CM code sets

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,

This code is dependent on provide documentation.This code is for patients presenting to the office with a specific problem or dental emergency. It is not used for routine dental visits or second opinions.

Hi! What extraction code are you billing with the D7285? Sometimes, Delta will bundle D7285 with D7250 and D7210. This denial could potentially be appealed with a detailed narrative written by the provider explaining why the biopsy is necessary and asking that Delta review D7285 under CDT guidelines, because the CDT defines D7285 as a (more)

Fluoride codes have changed for 2013, the following are the only fluoride codes to be used. All other fluoride codes have been deleted. 1. D1206 - to be used on both child/adult when a fluoride varnish has been applied 2. D1208 - to be used on both child/adult when topical fluoride has been used (i.e. (more)