Ask the Coder (531)

Answers
Views
Question
2
answers
23338
views

Provider extracted tooth and made an essix retainer with a fake tooth to cover gap

2
answers
2425
views

There are no restriction to bill these two codes together for the same DOS. However, you want to make sure you are include supporting documentation as to why you performed both procedures on the same day and the time involved. Make sure to include chart notes that document BOTH planning and scaling were performed, not just scaling. Indicate the patient has active perio disease and is in active perio treatment, include their perio condition Class I,II,III. Provide 1-3 teeth numbers for each quadrant planned and scaled, Document the remaining quadrants were not planned or scaled, that plaque, calculus and stains were removed for the remaining quads. Include perio chart, and FMX along with current BWXs if possible.

5
answers
1619
views

If you do a DO filling and a B filling on the same tooth and the DO does not touch the B can you bill for 2 seperate fillings the same day?

2
answers
752
views

Today we began treatment on a patient to replace PFM crown with new one. After the old crown and decay was removed (75mins into the appointment) it became clear that the tooth was non restorable and was referred for extraction. What code can we bill for the time spent in the chair?

0
answers
91
views

While at my dentist”s office for a temporary filing for a tooth that had chipped, the dentist mentioned that the oral surgeon from his office wasn’t busy and he stepped in to chat for a minute.

Codes D0220 and D0140 were billed to my insurance company on that date of service.

I was also charged $87 for a consultation that was not billed to insurance. I asked why it wasn’t billed and was told that it wasn’t covered. I asked what procedure code and was given D9810.

What this proper?

2
answers
1370
views

If we pull tooth k and place a space maintainer on tooth L to hold space till tooth 20 comes in what tooth do we bill out for code D1510?

2
answers
633
views

Pt never developed #7. When she was a teenager a maryland bridge was make the pontic is an old metal that is attached to a porc maryland retainer. pt fractured only #7 and to be conservative, we only replaced #7. A crown was fabricated to attach to a metal wing pontic. Insurance denies every code in send including D6999 and will not help at all with a correct code. Please advise on this and if you need more explanation, please contact.

0
answers
43
views

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

0
answers
83
views

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 also read that this practice may be considered fraudulent or abusive as more specific restoration codes are available. That this maybe considered unbundling. Which is true?

5
answers
212
views

How to claim delta dental x ray? I just claimed New exam 0150 and FMX, they denied for FMX service.

1 4 5 6 7 8 44