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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)
asw0929 May 18, 2022 7:18 pm
More specifically where is your biopsy? Most likely, if you are coding dental, you are going to use 20240 (superficial), but I would hate to say without hearing specifically where this biopsy is taking place. 20240: The physician performs an open biopsy on bone to confirm a suspected growth, disease, or infection. With the patient (more)
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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?
asw0929 May 15, 2022 7:57 pm
D0274 - bitewings - four radiographic images The vertical bitewing positioning allows an image of up to two molars to be taken, showing part of the periodontal ligaments. The horizontal bitewing positioning allows up to three molars to be viewed with one image. Report D0270 for a single film bitewing, D0272 for two bitewing films, (more)
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Can a D6080 code be used for locator dentures that can be removed by the patient or only fixed appliances?
asw0929 May 15, 2022 7:53 pm
D6080: implant maintenance procedures when prostheses are removed and reinserted, including cleansing of prostheses and abutments; This procedure includes active debriding of the implant(s) and examination of all aspects of the implant system(s), including the occlusion and stability of the superstructure. The patient is also instructed in thorough daily cleansing of the implant(s). This is (more)
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asw0929 April 14, 2022 2:24 pm
You are asking for the diagnosis code for a limited oral evaluation that is problem focused. When an exam is problem focused you must use the diagnosis that the patient presents with that has made the exam problem-focused (the dental emergency, trauma and/or infection).
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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??
Niamh February 19, 2023 10:14 am
To the adcaonline.org owner, Your posts are always well-received and appreciated.
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Unitasdental November 16, 2022 1:30 pm
D2950 should be bill the day it is rendered to avoid denial for inclusive reasons, and you should always bill for what you do on the DOS. D2950 is considered a stand alone code, and is commonly denied for inclusive procedure when coded with a crown code on the same DOS without a seat date. (more)
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e.g. WDS plans will say Fluoride toothpaste following periodontal procedure 100%. I've spoken to the company and they suggested D0999. The EOB note read: description for this treatment has a valid CDT code and does not match the submitted procedure c...
asw0929 May 15, 2022 7:47 pm
D9630: drugs or medicaments dispensed in the office for home use; Includes, but is not limited to oral antibiotics, oral analgesics, and topical fluoride; does not include writing prescriptions.
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asw0929 May 18, 2022 10:43 am
There is no code specific to just reattaching the locator abutment. I would say that you should bill D6199 and include documentation reporting what was completed.
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D4260 may be downcoded to D4261 due to periodontal charting . Isf full quad of surgery is done, is the patient responsible for the difference up to the full quad fee of the limited quad fee?
asw0929 May 15, 2022 7:44 pm
You're stating that the insurance downcoded the procedure based upon the evidence of the perio chart? It would depend on if you are in network or out of network with the insurance company as to how they process the difference when they downcode the procedure. If you are in network, it's likely that they process (more)
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asw0929 May 4, 2022 8:18 am
Since they are a requirement by some insurance companies on the CMS-1500 form I would say that it is also a good idea to enter them on the UB-04 form, but I cannot find documentation that states that it's a requirement. You might want to check with the insurance carrier to be sure.
