Insiders Q+A

Let’s Not Play Games with Codes

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Question: If a patient is seen for site specific pain, a pax is taken, the DDS numbs the site and has the hygienist debride and place a site of Arrestin, can the hygienist bill out the D9110 under his/her initials? The DDS typically does not bill for LA when a patient comes in for D0140/D0220 for either a cracked tooth or a hot tooth needing RCT and are in extreme pain. Today was a first and I’m a little confused over who should or can get “credit” for the code. So is the hygienist who was directly involved. I don’t believe the palliative tx code specifically applies to the DDS when tracking production but thought I would ask you for input.

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Ethics, Rules and Fraud

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Question: How do we prove that the diagnosis was completed before unless we do the evaluation on a different day than we actually provide the service?  Can we do it on the same day?  

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My office is currently working with a dental consultant from Oregon. There has been a lot of confusion regarding perio coding….

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Question: My office is currently working with a dental consultant from Oregon. There has been a lot of confusion regarding perio coding. If I have an existing patient with 1110 appt scheduled that day and after perio charting at the beginning of the appt I discover perio pockets that need SRP how do I code that day’s appt and what is done at this appt?

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