Ask the Coder (531)

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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 denture itself. Is there a way to bill out all of the different steps to insurance so that the costs are covered even though the negotiated rate with their insurance is so low?

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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.

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I know there are snow med and snow dent - but the ada has their own list of condition codes right?

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Patient presented with avulsed tooth #11. Dr. Arndt re-stabilized . I have to send to medical first. I need CPT code and DX code.

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We no longer take impressions or diagnostic casts. Is there a CDT code that would cover the intraloral scan with our Itero when we are preparing a treatment/case work up for an Invisalign consult? Can we still bill out D0470 or do we use D0393?

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Should we bill 20240 superficial or 20245 deep for biopsy . I feel the codes our providers are selecting is incorrect they are picking 20245 (deep)

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The hygienist doesn't want to take all 7 images because patient doesn't have enough teeth to justify taking the full 7 VBWX. Is there a way to bill just four images?

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Can a D6080 code be used for locator dentures that can be removed by the patient or only fixed appliances?

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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??

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