Ask the Coder (539)

Depending on the device, if you are using TAP appliance you would use 21089 for the appliance and 99002 for the handeling of the appliance. You need to be more specific as to the type of sleep apenea device your are utilizing. Medicare will only pay for an appliance if a sleep study has been (more)

The dental code that best fits CPT code 20900 (Bone graft, any donor area, minor or small) is D4263 (bone replacement graft - first site in quadrant)

You always want to fully disclose to the insurance company how a contract or treatment is being proposed or paid for by the patient. Yes, it is ok to bill this way!

The rules to billing medical carriers are defined within your contracts and vary from carrier to carrier, you need to review your contracts or review the guidelines found in your CPT manual. As for determining diagnosis codes these must come from your doctor, you as a coder/biller may not determine what diagnosis is appropriate. Once (more)

Therapeutic drug injections are coded to medical carriers by the actual drug being used. If the drug you are using is Decadron you have the correct code of J1100. This code is placed in the procedure code of the CMS-1500 form just as your other CPT codes are, it is box 24D. You do not (more)

The answer to your question is really a matter of opinion. If you ask the dentist or billing staff the answer would be yes. D0350 oral/facial photographic images would be used for diagnostic purposes. The reason is simple by taking photographs the dentist is able to map out a clear cut plan and ascessment of (more)

According to coding guidelines an adjustment done post delivery of a crown or bridge is included in the original fee and is not billed seperately, unless the adjustment is being done more than 30 days after the initial delivery.

There is no such code as D6078 your choices for the abutment supported fixed denture would be D6075-D6077 depending on the type of material you are utilizing (example porcelain fused to metal, cast metal or ceramic). You will further want to bill for the connector bar using CDT code D6055 and any pre-surgical services such (more)

Please visit our forms section in your members dashboard for a generic template on medical necessity. Simply fill in the blank areas to support your reasoning for "medical necessity." As each patient's needs for treatment are different I cannot give you the reason for medical necessity, there must actually be medical necessity for the treatment.

Dental code D7950 Medical code 20902