Wiki Dental Billing Question

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pabolaji

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Worcester , MA
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Good Morning,
Enquiring about dental billing Code D0180, although performed once a year, is there ever a circumstance to bill codes D0140,D9110, D0145 and D0150 with code D0180? Due to providers obligation to bill everything performed on that day, thank you in advance for your help; have a great day!
 
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Good Morning , CDT-4 (as of 2oo3)

D0180

To be used for either a new or established patient in the practice. It is indicated specifically for patients who show signs of periodontal disease and/or those with certain medical indications for being prone to periodontal disease, such as diabetics and patients taking beta-blockers (Procardia, epileptics on Dilantin, etc.).

A comprehensive periodontal evaluation consists of probing and charting, an evaluation of the medical and dental histories, and an overall health assessment. It also may include charting of the teeth, including missing and unerupted teeth, as well as caries, occlusal anomalies or discrepancies, and the like. This code cannot be used following any other evaluation by the same practitioner. Therefore, it would be inappropriate to use D0150 followed by D0180 on a subsequent date of service, or even the same day.
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D0140
This code should be selected for use when evaluating a patient for:
  • a specific problem such as an oral lesion or wisdom tooth eruption;
  • dental emergency;
  • traumatic injury (although, ideally, this should be billed to the medical carrier); or,
  • acute infection.
D0150
In order to bill the COE, the following procedures must be performed as part of the comprehensive examination:
 
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