Pt never developed #7. When she was a teenager a maryland bridge was make the pontic is an old metal that is attached to a porc maryland retainer. pt fractured only #7 and to be conservative, we only replaced #7. A crown was fabricated to attach to a metal wing pontic. Insurance denies every code in send including D6999 and will not help at all with a correct code. Please advise on this and if you need more explanation, please contact.
Could reporting two restorations for the same tooth on different surfaces be considered unbundling? Anesthetic, rubber dams, review of radiographs, may be part of the “first” restoration
I’ve found conflicting information about billing more than one restoration on the same tooth on the same day. I’ve seen information state that if the surfaces are not touching, then it is appropriate to report more than one restoration; however, I’ve also read that this practice may be considered fraudulent or abusive as more specific restoration codes are available. That this maybe considered unbundling. Which is true?
How to claim delta dental x ray? I just claimed New exam 0150 and FMX, they denied for FMX service.
For example, there is the impression, the wax up, the try ins (and all of the times it takes to get this right with the lab). By the end of the process, being in network with their insurance causes us to lose out on money when we simply bill out the denture itself. Is there a way to bill out all of the different steps to insurance so that the costs are covered even though the negotiated rate with their insurance is so low?
Can you enter two separate restoration codes on the same day for the same tooth or is it correct to bill as a two surface restoration even though the restorations are not touching. For instance tooth #30 has occlusal but also separate buccal.
I know there are snow med and snow dent - but the ada has their own list of condition codes right?
Patient presented with avulsed tooth #11. Dr. Arndt re-stabilized . I have to send to medical first. I need CPT code and DX code.
We no longer take impressions or diagnostic casts. Is there a CDT code that would cover the intraloral scan with our Itero when we are preparing a treatment/case work up for an Invisalign consult? Can we still bill out D0470 or do we use D0393?
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)