we have questions about the new dental code of D9311 ( consult w/ medical health care professional). What kind of documentation is required in order to bill out this code for dental services ( amount of time spent w/ medical provider discussing the patient’s medical history, etc.) and where should it be documented ( in patient’s medical and dental chart)? Also, we have clinics that offer medical and dental services both in the same building and sometimes we have patients who are being seen for dental and their face is swollen so we have to send them over to the medical side of our facilities for a rocephin shot and was wondering if the D9311 code would be appropriate to use in those cases.

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  • we have questions about the new dental code of D9311 ( consult w/ medical health care professional). What kind of documentation is required in order to bill out this code for dental services ( amount of time spent w/ medical provider discussing the patient's medical history, etc.) and where should it be documented ( in patient's medical and dental chart)? Also, we have clinics that offer medical and dental services both in the same building and sometimes we have patients who are being seen for dental and their face is swollen so we have to send them over to the medical side of our facilities for a rocephin shot and was wondering if the D9311 code would be appropriate to use in those cases.

we have questions about the new dental code of D9311 ( consult w/ medical health care professional). What kind of documentation is required in order to bill out this code for dental services ( amount of time spent w/ medical provider discussing the patient’s medical history, etc.) and where should it be documented ( in patient’s medical and dental chart)? Also, we have clinics that offer medical and dental services both in the same building and sometimes we have patients who are being seen for dental and their face is swollen so we have to send them over to the medical side of our facilities for a rocephin shot and was wondering if the D9311 code would be appropriate to use in those cases.

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Asked on January 9, 2017
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The rationale behind D9311 is to consult with the patient’s healthcare professional before beginning active treatment to ensure that all potentially dangerous medical conditions are discussed and the best course of treatment is collaborated for the patient’s safety. This exchange of information must be recorded in the patient’s’ clinical notes as a document, audio file or narrative. The following documentation must be present. Detailed exam and history of patients current and present illness along with purposed dental treatment and physician consulted with whom was consulted. It is also helpful to add time in and time out of consultation with both patient and physician along with final outcome of consultation or Medical Decision Making.

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Answered on January 10, 2017
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