We are trying to file with Medicare the D9999, i know they don't pay it but we need the denial for Medicaid to pay the claim. Can I use 41899 to get this to pass thru if i list it as unlisted dental procedure in my description on the claim?

We are an outpatient surgery center (not ASC). I don't want to get into trouble with Medicare, but we need the denials in order to get paid by the secondary and the D codes will not allow us to even send them out.

Thanks A Million!!!

Hi Guest!

D6010 - surgical placement of implant body: endosteal implant
can be crosscoded to:
21248 - Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial(3or less)
21249 - Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete (4 or more)


D9243 - Intravenous moderate (conscious) sedation/analgesia – each 15 minute increment

Here are some coding options below:

00170 - Anesthesia for intraoral procedures, including biopsy; not otherwise specified
00172 - Anesthesia for intraoral procedures, including biopsy; repair of cleft palate
00174 - Anesthesia for intraoral procedures, including biopsy; excision of retropharyngeal tumor
00176 - Anesthesia for intraoral procedures, including biopsy; radical surgery
01999 - Unlisted anesthesia procedure(s)


D5810 – interim complete denture (maxillary)
D5811 - interim complete denture (mandibular)
D6190 - radiographic/surgical implant index, by report
D9940 - occlusal guard, by report
D6056 - prefabricated abutment - includes modification and placement
D6199- unspecified implant procedure, by report

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 try the CPT code below and include a narrative report describing the procedure:
41899 - Unlisted procedure, dentoalveolar structures

Hope this helps!