Ask the Coder (541)

A prophy should not be billed out on the same day as scaling and root planing. The SRP should be preformed and a week or two later the patient should return for a prophy.

I agree. D9310 would be the correct code for this service. D9310 consultation - diagnostic service provided by dentist or physician other than requesting dentist or physician; A patient encounter with a practitioner whose opinion or advice regarding evaluation and/or management of a specific problem; may be requested by another practitioner or appropriate source. The (more)

The problem here is fax back eligibility does not guarantee payment from the carrier it merely states to the best of their knowledge the patient is active and eligible for treatment under the plan. You may try to appeal this decision by refiling the claim and sending in fax back proof of eligibility at time (more)

There is not a separate code for toothbrush deplaquing. This service would be included in the prophy code, either D1110 (adult) or D1120 (child).

To the adcaonline.org owner, Your posts are always well-received and appreciated.

You are asking for the diagnosis code for a limited oral evaluation that is problem focused. When an exam is problem focused you must use the diagnosis that the patient presents with that has made the exam problem-focused (the dental emergency, trauma and/or infection).

D6080: implant maintenance procedures when prostheses are removed and reinserted, including cleansing of prostheses and abutments; This procedure includes active debriding of the implant(s) and examination of all aspects of the implant system(s), including the occlusion and stability of the superstructure. The patient is also instructed in thorough daily cleansing of the implant(s). This is (more)

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