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Question
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
Needing some clarification on code 7950. A tooth was previously extracted and we are now going in to graft the site for future implant. Is 7950 the correct code? 7953 won't work bc the tooth was previously extracted and 6104 won't either bc we are no...
asked 3 years ago by
Unitasdental November 16, 2022 1:30 pm
D2950 should be bill the day it is rendered to avoid denial for inclusive reasons, and you should always bill for what you do on the DOS. D2950 is considered a stand alone code, and is commonly denied for inclusive procedure when coded with a crown code on the same DOS without a seat date. (more)
asked 4 years ago by
How to claim delta dental x ray? I just claimed New exam 0150 and FMX, they denied for FMX service.
LiftRCM October 9, 2022 11:51 am
Segment your X-rays based on those taken in the series. It is important o understand the CARC or RARC on the RA. Unfortunately, some benefit plans consider an FMX the came and a Pano, although they are for different purposes.
asked 3 years ago by
Anonymous
General dentist coded D0140 for tooth pain. Recommended RCT and got RCT at endodontist through referral. Endodontist coded D0140 again. Went back to general dentist for filling of crown. Got billed with D0140 again. Does this look correct to keep bil...
Admin December 22, 2022 8:04 pm
The D0140 should only have been sent by the GP, If it was certain the patient needed to RCT. The endo coding for it is not neccassary unless they had to diagnosis if the patient really needed a RCT. But the GP sending the D0140 again at the crown appointment is absolutely unnecessary. Most insurances (more)
asked 3 years ago by
Since the root canal was performed & resolved my issue & crown isn’t necessary, would there be a need for “build up” since there will be no crown? Is the only reason for the build up, to support a crown??
Niamh February 19, 2023 10:14 am
To the adcaonline.org owner, Your posts are always well-received and appreciated.
asked 4 years ago by
I’ve found conflicting information about billing more than one restoration on the same tooth on the same day. I’ve seen information state that if the surfaces are not touching, then it is appropriate to report more than one restoration; however, I’ve...
asked 3 years ago by
asw0929 April 14, 2022 2:24 pm
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).
asked 4 years ago by
Could reporting two restorations for the same tooth on different surfaces be considered unbundling? Anesthetic, rubber dams, review of radiographs, may be part of the “first” restoration
asked 3 years ago by
