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    Is there documentation to support when it is appropriate to bill D0470, Diagnostic Casts? I have a provider that seems to think that he can bill this code when taking impressions and bite registration for a sleep apnea appliance. I would like to have something in writing to support the explanation of this code. Thank you.
    Admin July 15, 2010 8:03 am
    According to the ADA D0470 diagnostic casts are billable anytime diagnostic aides are needed or required for the treatment of specific procedures (i.e. orthodontia, TMJ disorders, Orthognathic Surgery, etc.). This code would be inappropriate for impressions and bite registration if diagnostic casts are not created. Impressions and bite registration would be considered an inclusive part (more)
    Admin
    asked 16 years ago by
    ADCA Admin
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    If a patient has periocoronitis on tooth 17 and the dentist burns the flap of skin off, what is the correct code? I say D7971, but the dentist insists that I code it under D7280, since operculectomy is not covered under the patient's insurance (Florida Medicaid). The dentist did not remove any bone, did not make an incision. Who is right?
    Admin February 11, 2011 1:00 pm
    The appropriate code to utilize with a patient that has a diagnosis of periocoronitis and has the pericornal gingiva excised or removed is D7971. Using an inappropriate code just because it pays is considered abusive and you may be audited and fined. You may try billing the claim to the Medical carrier using 41821 and (more)
    Admin
    asked 15 years ago by
    ADCA Admin
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    My pt is 24 years old (DOB 12/26) and lives at home, she has her own policy through MetLife Dental and her mother (DOB 12/27) has a policy through Delta Dental. I want to confirm that her policy is primary and mothers is secondary. Is this correct???
    Admin April 22, 2011 4:34 pm
    Yes, the patient's policy should be primary. There would be only one exception if both carriers abide by the policy that has been in effect the longest then the mother's policy would be primary.
    Admin
    asked 15 years ago by
    ADCA Admin
    1
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    0
    I noticed one of the publications mentioned on the ADCA website is Oral Maxillofacial coding/billing book published by PMIC. I wondered if you have any experience with this book and if this is beneficial for the dental coder in Oral Maxillofacial surgery?Thank you!Lynette Kardell, CPC,CDC
    Admin July 22, 2010 11:16 am
    I have not reviewed the book personally, however, PMIC is a great company. I do know that they have backing from the AAOMS for the book so it must hold some validity.
    Admin
    asked 16 years ago by
    ADCA Admin
    1
    answer
    0
    Is there a CPT code for an occlusal guard? (D9940 CDT)
    Admin February 12, 2011 9:07 am
    The most appropriate CPT code is the unlisted code 21089, this code requires a narriative to accompany the claim.
    Admin
    asked 15 years ago by
    ADCA Admin
    1
    answer
    0
    Greetings - I have 2 questions 1. I am trying to take the Module 1 practice exam but I am unable to log in with my ADCA username and password. do I need to set-up another one? 2. I have 2 dental billers in my office and I would like to register them as members so that they can take the certification exam,also. Is there a way that I can do this for them and pay the fee through our organization?
    Admin April 28, 2011 7:46 am
    In regards to your first question about the practice exams, you need to follow the instructions in your book. Step one: log onto to the website indicated in your book Step two: in the top right corner click on the "Register Now tab" Step three: register yourself with a user name and password As for (more)
    Admin
    asked 15 years ago by
    ADCA Admin
    1
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    0
    When would you expect to see the D7951--sinus augmentation with bone or bonesubstitues code used?The procedure in question is: Placement of implant at site #3 with possibleindirect or direct sinus lifting.The Oral Surgeon documents that an "indirect sinus lift" was performed. Thank you. Brenda
    Admin August 17, 2010 6:55 pm
    D7951 is used for augmentation of the sinus cavity to increase alveolar height for reconstruction of edentulous portions of the maxilla. It includes obtaning the bone or bone substitute. Most common diagnosis code for this procedure would be 525.25 (moderate atrophy of maxilla) or 525.26 Severe atrophy of maxilla. If the doctor was placing an (more)
    Admin
    asked 16 years ago by
    ADCA Admin
    1
    answer
    0
    What is the diagnostic medical code I should use when billing a medical carrier?
    Admin February 23, 2011 12:32 pm
    There are over 50,000 diagnosis codes in the ICD-9-CM book, you must utilize the code that best describes your patient's condition.
    Admin
    asked 15 years ago by
    ADCA Admin
    1
    answer
    0
    i just signed up for membership of adca and would like to get the 25% discount on my isp study program…Do I get this coupon code from you?
    Admin May 2, 2011 9:17 am
    This forum is for coding questions only. Please contact technical support for any book or class related issues. support@adcaonline.org
    Admin
    asked 15 years ago by
    ADCA Admin
    1
    answer
    0
    Any Crosswalk codes known for Extraction of a Supernumerary tooth (used D7240-SN)to a CPT code? Thank you Brenda
    Admin September 16, 2010 7:27 am
    The only CPT code available at this time is the unlisted code 41899, you should utilize this code along with ICD-9-CM code 520.1 for (Supernumerary teeth).
    Admin
    asked 16 years ago by
    ADCA Admin
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