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Question
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 4 years ago by
Admin May 15, 2019 11:41 am
D9930 - Dry socket
asked 7 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 4 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 4 years ago by
Anonymous
asw0929 May 18, 2022 10:43 am
There is no code specific to just reattaching the locator abutment. I would say that you should bill D6199 and include documentation reporting what was completed.
asked 4 years ago by
i have the 2022 code book and am having trouble finding it. Is it in the new book? if so where so i can see how it is in there.
Shannon Taylor March 6, 2023 1:08 pm
If you are meaning the diagnosis code it is Z01.20.
asked 3 years ago by
Can you enter two separate restoration codes on the same day for the same tooth or is it correct to bill as a two surface restoration even though the restorations are not touching. For instance tooth #30 has occlusal but also separate buccal.
asw0929 August 18, 2022 6:57 pm
If the fillings touch then it’s one two surface filling. If they don’t touch/aren’t connected then it’s two one surface fillings. Insurance will typically downgrade it and pay based on a two surface, but you have to always bill what you do.
asked 3 years ago by
e.g. WDS plans will say Fluoride toothpaste following periodontal procedure 100%. I've spoken to the company and they suggested D0999. The EOB note read: description for this treatment has a valid CDT code and does not match the submitted procedure c...
asw0929 May 15, 2022 7:47 pm
D9630: drugs or medicaments dispensed in the office for home use; Includes, but is not limited to oral antibiotics, oral analgesics, and topical fluoride; does not include writing prescriptions.
asked 4 years ago by
For example, there is the impression, the wax up, the try ins (and all of the times it takes to get this right with the lab). By the end of the process, being in network with their insurance causes us to lose out on money when we simply bill out the ...
Oanh Phan September 13, 2022 2:43 pm
To my knowledge, there is no way to bill for the lab ( steps involved until denture is complete ) to the insurance. if patient does not show up to pick complete the process, you can bill with a narrative to get some payment ( reimburse for your time and lab fee). I know my (more)
asked 3 years ago by
