Coding correctly is critical for maximizing reimbursement, increasing cash flow, and minimizing any coding errors that could result in fines or worse. We consistently find $20,000 to $30,000 in coding errors during our practice analysis process. Test your coding knowledge with these 3 questions.
1. What code should be used for fluoride treatments?
D1208 and D1206 (varnish) should be used for child and adult fluoride; previous restrictions to patients with moderate to high caries risk have been eliminated. Fluoride codes D1203 and D1204 were discontinued in 2013.
2. When can you use code D0180?
D0180 may be reported for established periodontal patients, patients showing signs or symptoms of periodontal disease, and for patients with risk factors such as smoking and diabetes. D0180 usually pays a slightly higher UCR than D0150.
3. What code should be used for an emergency visit to treat a patient in pain?
D9110 can be used to report minor non-definitive procedures to reduce discomfort, sensitivity, or pain at an emergency visit. D9110 is a procedure code, not an exam code, so it does not use one of the patients’ limited exams for the year.
Perfect the process of coding and insurance administration in your practice. Request a coding review from your Henry Schein representative today.