Comprehensive Guide to D0140 Dental Code and Exams

What ADA CDT dental code is D0140?

D0140 is the ADA CDT dental code for a dental exam focused on a specific problem or a patient’s concern. It is often used in urgent situations or emergencies. The code description is officially “limited oral evaluation – problem focused.”

Frequently Asked Questions About D0140 Dental Code

What procedure does D0140 refer to?

This code refers to an evaluation of a specific dental problem or concern, often used for emergency visits or acute issues.

What are the documentation requirements and best practices for D0140?

Documentation should include a detailed description of the patient’s problem, examination findings, and any immediate treatment or recommendations provided.

What are the typical costs, reimbursement rates and guidelines for D0140?

Costs typically range from $75 to $150, depending on the severity of the issue and the provider. Reimbursement rates vary, but it is often covered for emergency or urgent care.

Are there any common errors or pitfalls to avoid with D0140?

Common errors include failing to document the specific problem adequately and not providing detailed examination findings, which can lead to claim denials.

How should D0140 be submitted on an insurance claim, and should a site be included?

Submit with detailed notes on the patient’s complaint, findings, and any treatment provided. Site-specific details are usually required based on the issue.

Is D0140 often used with other codes, and how does it fit into the overall coding system?

Often used with treatment codes such as D9110 for palliative treatment. It helps in addressing immediate concerns and planning further treatment if necessary.

How can I verify patient eligibility and coverage for this procedure?

Verify eligibility by contacting the patient’s insurance provider to ensure coverage for emergency or problem-focused evaluations.

What are the ethical considerations and common fraud indicators associated with D0140?

Maintain accurate and thorough records of the patient’s complaint, examination, and treatment to avoid fraud. Ensure the evaluation is necessary and justified.

What are the key differences between similar codes?

D0140 is for problem-focused evaluations, while D0120 is for routine exams and D0150 is for comprehensive exams. Use D0140 specifically for urgent or specific issues.

Why was D0140 specifically used for my treatment, and are there alternative treatments with different codes and costs?

D0140 is used for assessing and addressing specific dental problems. Alternatives include D0120 for routine exams or D0150 for comprehensive exams if a broader assessment is needed.

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