Question: Our surgeon recently performed excision of infected bone in the mandibular arch caused due to an infected tooth. He also performed the extraction of the affected tooth. Since I am planning to report the excision to the patient’s medical …
1. ANY traumatic injury to the mouth – all associated oral and dental procedures 2. Exams and consultations when oral cancer screening is done, and in preparation for any other medically billable procedure 3. Emergency treatment of oral inflammation and …
A consultation, as defined by the CPT manual, is a evaluation and management service provided at the request of another physician or appropriate source to either recommend care for a specific condition or problem, or to determine whether to accept …
Proof of Delivery 42 CFR 424.57(c)(12) requires suppliers to maintain proof of delivery (POD) documentation in their files. POD documentation, as well as claims documentation, must be maintained in the supplier’s files for 7 years (starting from the DOS). Suppliers, …
Modifiers are valuable coding tools that explain to payers the specific work that was done by a physician during treatment of a patient. They’re important for representing the medical decision-making (MDM) a physician must demonstrate in order to bill, and …
Note on Documentation Requirements: Establishment of medical necessity of pediatric orthodontics requires documentation to support the severe handicapping malocclusion and the presence of a qualifying medical condition, and a score of 42 points or greater on the Modified Salzmann Index. …
From our Friends at FindaCode Question: We have been receiving several DDS referrals to our massage therapists who do intra-oral work. The only problem is that the referral from the DDS lists code R51 for headaches as the only DX …
Dental vs. medical insurance: Where do the two diverge? Written by Mackenzie Garrity | May 29, 2018 Our industry is moving into more medical billing, just by the fact that dental has not increased their benefits and many services are …
Many offices are not using the modifier to tell the insurance company the health of the patient. If you are not receiving payment use the correct modifier for each patient. PHYSICAL STATUS MODIFIER (FOR ANESTHESIA Anesthesia procedures have their own …
This form is used to evaluate the conditions that may or may not qualify patients for coverage of medically necessary orthodontic services. Medically Necessary Orthodontia related to the Pediatric Dental Essential Benefit in the Affordable Care Act (ACA): Comprehensive medically …