Rank: Guest
Joined: 9/8/2012(UTC)
Posts: 16,083
Was thanked: 16 time(s) in 15 post(s)
|
I am so grateful to have found you. I too cannot get my dentist, periodontist, or health insurance to assist with coding conversion. I can file a medical claim for part of dental work per insurer, if done using medical codes. I am on my own to file as the periodontist files no insurance.
In reviewing other posts, I have some similar codes. Below are all my codes, along with a few potential medical codes that I gleaned from your responses. Any help would be so appreciated.
D7210 extraction; is 41899 unlisted best code?
D7953 bone graft for bone erosion (from poorly placed crown by another dentist); need code
D6010 implant; is 21248 best or 21249?
D9310 consult; need code
D0364 3-D scan; is 76497 unlisted procedure best code?
Thank you!
|
|
|
|
|
|
Rank: Administration
Joined: 11/21/2012(UTC)
Posts: 1,611
Thanks: 39 times
Was thanked: 51 time(s) in 51 post(s)
|
Hi Guest!
Good work on the research there!! :)
D7953 - bone replacement graft for ridge preservation - per site
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
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)
(basically, if it was 3 or less implants, you'll use 21248 instead of 21249)
D9310 - consultation - diagnostic service provided by dentist or physician other than requesting dentist or physician
can be crosscoded to a new or established patient evaluation & management (E&M) codes - 99202-99205 (new patients), or 99211-99215 (established patient):
New patients:
99202 – 15-29 mins
99203 – 30-44 mins
99204 – 45-59 mins
99205 – 60-74 mins
Established patients:
99212 – 10-19 mins
99213 – 20-29 mins
99214 – 30-39 mins
99215 – 40-54 mins
D0364 - Cone beam CT capture and interpretation with limited field of view - less than one whole jaw
so, yes 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).
Some insurers (i.e. UHC) state to use 70486 (Computed tomography, maxillofacial area; without contrast material).
D7210 - Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated
And yes, extractions do not have a direct crosscode, 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!
|
|
|
|
|
|
Rank: Guest
Joined: 9/8/2012(UTC)
Posts: 16,083
Was thanked: 16 time(s) in 15 post(s)
|
Wow! I cannot thank you enough. This information is exactly what I needed. And the detail is terrific! Thank you again for such a quick turnaround and for taking so much time to help me, as well as all the others that have reached out to you.
|
|
|
|
|
|
Forum Jump
You can post new topics in this forum.
You can reply to topics in this forum.
You can delete your posts in this forum.
You can edit your posts in this forum.
You cannot create polls in this forum.
You can vote in polls in this forum.