Ask the Coder (527)

Answers

Views

Question

answer

621

views

When modifying an existing denture to accommodate implants after implant surgery, we use code D5875. Our question however, is whether we should bill separately for the housing assembly portion that is imbedded in the retrofitted denture? It seems like in this case we should bill for the D5875 as well as D5862 (mini implants) or D6062 (full size implants)to cover the cost of the housings. Need your help. Thanks.

answers

606

views

Can I charge D0801 when I am also charging later date D2740?

We use digital scan rather than conventional PVS and I'd like to know if I can now charge for 3-D dental surface scan -direct when scanning for a porcelain/ceramic crown fabrication? I will be posting D2740 on delivery date of crown.

answer

597

views

Good afternoon. My question for you is the following: I submitted a claim for code D2752 which is crown- porcelain fused to nobel metal. The submission was sent with an x-ray of the tooth (#29) and an explanation on why a crown was the best treatment. The insurance company is telling me the code is wrong and that I need to resubmit with code D2792 Crown- full cast nobel metal. Why do I hae to submit for a full cast when a porcelain crown was done? Have the codes changed? How do I resubmit this? Thank you for your prompt attention.

answer

595

views

We use code D9230 for Nitrous Inhalation, can we also use D9248 for Halcion administration or would it be better to use D9920 Behavior modification w/ a narrative for a patient that has high anxiety before and during a dental procedure?

answer

584

views

CPT Code for Sectioning of a Bridge

I have to submit to submit a section of bridge to Medical. Is there a CPT code?

answers

577

views

can we charge for a D0140 a day after patient seen for new patient exam D0150

Pt seen to stablish care. Procedure code used D0150 the next day patient seen for a limited examination D0140 and extracted a tooth. I am curious if this will be considered over charging on exams, as pt just had a comprehensive exam the day before.

answer

574

views

Code for incomplete crown procedure

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?

answer

567

views

What is the correct CPT code for oroantral fistula closure??I keep coming to 30600. But also, have looked at 30580. Any help in the right direction would be greatly appreciated.

answer

557

views

It has been observed that almost all the dental insurance carriers are denying the charge for the code D9230 - Analgesia, Nitrous Oxide. What is the reason for the denial? Also, what is the alternate code that we can use to charge for this?

answer

532

views

Good Morning. I need a code for smoothing a tooth. I know that there is one, but I can't remember where it is.