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Thank you very much for your assistance!
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Hi Guest!
D6100 - surgical removal of implant body can be crosscoded to: 20670 - Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure) 20680 - Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)
D6104 - bone graft at time of implant placement Can be cross coded to: 21210 - Graft, bone; nasal, maxillary or malar areas (includes obtaining graft) 21215 - Graft, bone; mandible (includes obtaining graft) **use modifier -52 for reduced services when bone is not obtained from patient
D9248 - non-intravenous conscious sedation For patients 5+ years old, can be cross coded to: 99152 Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient’s level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older 99153 Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient’s level of consciousness and physiological status; each additional 15 minutes intraservice time (list separately in addition to code for primary service)
D9230 - inhalation of nitrous oxide/analgesia, anxiolysis
The code above does not have a crosscode, so you can either use the "D" code on the medical claim (many medical insurers will process the "D" code on the medical claim when they are medically necessary procedures these days), you may consider: 01999 - Unlisted anesthesia procedure(s) And heads up, some medical insurers will consider this included in the office visit (evaluation & management code) and will not pay it separately.
D9210 - local anesthesia not in conjunction with operative or surgical procedures depending on the substance used, may be crosscoded to: S0020 - Injection, bupivacaine hydrochloride, 30 ml
D4265 - biologic materials to aid in soft and osseous tissue regeneration D4266 - guided tissue regeneration - resorbable barrier, per site
The two codes listed above do not have direct crosscodes we are aware of - so you can either bill the "D" code on the medical claim (many insurers these days will process "D" codes when they are medically necessary services), or you can use the CPT code below and include a narrative report describing the procedure: 41899 - Unlisted procedure, dentoalveolar structures
Hope this helps!
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I need cross matching medical codes for the following after an infected implant had to be removed by an oral surgeon.
D6100 Implant Removal, by report D4265 Bio mat, sft&osseous tiss regen D4266 Guided tiss regen-resort-per D6104 Bone Graft, Implant Placement D9248 Non IV conscious sedation D9230 Analgesia-inhal of nitrous oxid D9210 Local anesthesia not op/ surg
Any help would be greatly appreciated!!!
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Hi Jenn!
D0140 - limited oral evaluation - problem focused can be crosscoded to: 99202 - level 2 new patient Evaluation & Management (office visit) or 99212 - level 2 established patient Evaluation & Management (office visit)
D0220 - intraoral - periapical first radiographic image can be cross coded to: 70300 - Radiologic examination, teeth; single view
D0470 - diagnostic casts D2962 - labial veneer (porcelain laminate) - laboratory
The codes listed above do not have direct crosscodes we are aware of, so you can either bill the "D" code on the medical claim (many insurers these days will process "D" codes when they are medically necessary services), or you can use the CPT code below and include a narrative report describing the procedure: 41899 - Unlisted procedure, dentoalveolar structures
There aren't any standard modifiers to use on these codes, although if the casts & veneer were performed the same date as the office visit (the 99202 or 99212), you can append the modifier 25 to the office visit code to indicate it is a separately identifiable service.
For the ICD-10 (diagnosis) codes, based on what you described, here are some coding options: S02.5XXA - Fracture of tooth (traumatic), initial encounter for closed fracture S02.5XXB - Fracture of tooth (traumatic), initial encounter for open fracture G89.11 - Acute pain due to trauma W17.81XA - Fall down embankment (hill), initial encounter
Hope this helps!
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Hi! I am trying to file medical insurance with dental codes. I need medical cross codes for: D0140 Limited oral evaluation - prob focused D0220 Intraoral - Periapical - First Film D047A Diagnostic wax up/Tooth D2962 Porcelain Veneer The patient was running and fell down a hill and onto her face and broke her upper incisor. Also, do I need modifiers too?
Thank you so much for your help! Jenn
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Hi Guest!
D0367 - Cone beam CT capture with interpretation with field of view of both jaws, with or without cranium
There is actually not currently a specific CPT code for CBCT……the closest CPT code is: “70486 - Computed tomography, maxillofacial area; without contrast material”. Many offices have been using this for some time for CBCT, and some insurers require this code to be used for CBCT (i.e. UHC). However, some medical insurers are auditing that code when used for CBCT because the description does not specify “cone beam”.
So, “76497 - Unlisted computed tomography procedure (eg, diagnostic, interventional)” is an option to use (keep in mind you'll need to provide a narrative description for unlisted codes) We also see practices billing out for "76102 - Radiologic examination, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than with urography; bilateral"
D0180 - Comprehensive Periodontal Evaluation – New or Established Patient can be crosscoded to: 99202 - new patient level 2 evaluation & management or 99212 - established patient level 2 evaluation & management
D6010 - surgical placement of implant body: endosteal implant can be cross coded to: 21248 - Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial(3 or less) 21249 - Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete (4 or more)
D7955 - Repair of Maxillofacial Soft Tissue and/or Hard Tissue Defect can be crosscoded to: 21208 - Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) or 21270 - Malar augmentation, prosthetic material
D6104 - bone graft at time of implant placement can be crosscoded to: 21210 - graft, bone; nasal, maxillary, or malar areas 21215 - graft, mandibular **use modifier -52 for reduced services when bone is not obtained from patient
D2799 - provisional crown – further treatment or completion of diagnosis necessary prior to final impression D7210 - Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated D6056 - prefabricated abutment - includes modification and placement
There are not direct crosscodes for extractions, crowns and abutments, so you can either bill the "D" code on the medical claim (many insurers these days will process "D" codes when they are medically necessary services), or you can use the CPT code below and include a narrative report describing the procedure: 41899 - Unlisted procedure, dentoalveolar structures
Now, as for the diagnosis coding portion, be sure to code both the trauma/injury to the teeth, as well as a code that explains the accident. For example, here are some commonly used trauma/injury codes:
S02.5XXA - Fracture of tooth (traumatic), initial encounter for closed fracture S02.5XXB - Fracture of tooth (traumatic), initial encounter for open fracture S03.2XXA - Dislocation of tooth, initial encounter K08.411 - Partial loss of teeth due to trauma, class I K08.412 - Partial loss of teeth due to trauma, class II K08.413 - Partial loss of teeth due to trauma, class III K08.414 - Partial loss of teeth due to trauma, class IV K08.419 - Partial loss of teeth due to trauma, unspecified class
And for the wakeboarding accident, here are a few options Or if the accident happened differently, if you'd like to provide me with additional details I can offer you other coding options): V94.31XA - Injury to rider of (inflatable) recreational watercraft being pulled behind other watercraft, initial encounter V94.22XA - Rider of nonpowered watercraft struck by powered watercraft, initial encounter
Hope this helps! Y93.17 - Activity, water skiing and wake boarding
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I was wondering about getting cross matching medical codes for these dental codes so a patient could possible submit to her medical insurance.. Thank you
D0367
D0180
D6010
D7955
D6104
D2799
D7210
D6056
Thank you for all your help. Patient was in a wake boarding accident :)
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