Ask the Coder (423)

Yes, as a coder you are responsible for code selection and assignment based on provider documentation.

Yes, you may bill dental as a secondary carrier to the medical plan payment. You will need to change the code on the dental claim form and submit the EOB from medical along with stating the code description of CPT code in box 35 of the ADA claim form

You will need to be more specific in your question, please resubmit your question with more specificity. 1. Pre or Post imaging 2. Image capture only, interpretation only or image and interpretation

1. D5982 2. D9450 3. you need to be more specific on the type of scans

You may bill D0470 along with D7880 as long as the casts are for diagnostic purposes and not being used to create the device. D7880 includes splints and therefore D9940 would be considered inclusive of D7880.

The code for single crown implant supported would depend on the type of crown being placed code range D6065-D6067 Porcelain/ceramic D6065 PFM D6066 Metal Crown D6067

If you had to re-cement or re-bond the space maintainer the code would be D1550. If you had to place a new space maintainer the code would be D1999 accompanied by a brief narrative as to why the space maintainer had to be replaced.

Any patient who has not been seen by any provider in the same practice in over 3 years is considered a new patient.

If this claim was denied due to timely filing an appeal is not going to change the outcome. You need to read your contractual obligation on claim submissions with the carrier and proceed according to their guidelines. If this claim was filed in a timely manner and had to be resubmitted then denied you have (more)

This exam is set to release January 2017