We are having trouble getting our pano(D0330) and bite wing(D0272 or D0274)paid when they are performed on the same day of service. If we took Pano, BWs and additional PA’s can we code as FMX? Is there any other way of coding these services in order to receive payment? Thanks

A full mouth series usually consists of 14-22 periapical and posterior bitewing images that are intended to display the crowns and roots of all the teeth. Since a panoramic film is not intraoral it would not be appropriate to code this as a full mouth series. You will need to seperate out the codes, if the panoramic film is denied (not due to frequency limitation) you will need to appeal the decision and provide "medical necessity" for the pano.