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I need help converting dental code D0140 and D0366 to the proper medical codes.
Thank you!
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Hi guest!
D0140 - limited oral evaluation - problem focused
CPT coding options:
For a new patient: CPT 99201 - Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.
For an established patient: CPT 99212 - Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.
D0366 - cone beam CT capture and interpretation with field of view of one full dental arch - maxilla, with or without cranium
Coding options:
Many medical insurers prefer that you use the "D" code for this service, as there is not a CPT code that specifies cone beam CT. There is CPT code 70486 - Computed tomography, maxillofacial area; without contrast material (but this code does not specify cone beam).
Hope this helps, have a great day!
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Hope you can help me with getting the medical codes for the following procedures i Need... 7460. Removal of lesion between teet 11 & 12... full breakfown of cortical b plate 7953 bone replacement graft 4344. Guided tissue regeneration My dental plan says this is medical and my health insurance says it is coded for a dental procedure. I am caught in the middle!! My email is. Jbarry2232@gmail.com Any help you could give would be greatly appreciated. Thank you. Jan barry
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Rank: Guest
Joined: 9/8/2012(UTC)
Posts: 16,083
Was thanked: 16 time(s) in 15 post(s)
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Hope you can help me with getting the medical codes for the following procedures i Need... 7460. Removal of lesion between teet 11 & 12... full breakfown of cortical b plate 7953 bone replacement graft 4344. Guided tissue regeneration My dental plan says this is medical and my health insurance says it is coded for a dental procedure. I am caught in the middle!! My email is. Jbarry2232@gmail.com Any help you could give would be greatly appreciated. Thank you. Jan barry
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Rank: Administration
Joined: 11/21/2012(UTC)
Posts: 1,611
Thanks: 39 times
Was thanked: 51 time(s) in 51 post(s)
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Hi Jan!
D7460 - Removal of benign nonodontogenic cyst or tumor - lesion diameter up to 1.25 cm
can be crosscoded to one of the following:
21030 - Excision of benign tumor or cyst of maxilla or zygoma by enucleation or curettage
21040 - Excision of benign tumor or cyst of mandible, by enucleation and/or curettage
41825 - Excision of lesion or tumor, Dentoalveolar structures; without repair
41826 - Excision of lesion or tumor, Dentoalveolar structures; with simple repair
41827 - Excision of lesion or tumor, Dentoalveolar structures; with complex repair
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
As for guided tissue regeneration I show:
D4266 - guided tissue regeneration - resorbable barrier, per site
D4267 - guided tissue regeneration - nonresorbable barrier, per site (includes membrane removal)
can be cross coded to:
41870 - Periodontal mucosal grafting
Hope this helps!
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Rank: Guest
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I need help converting dental codes to medical codes:
D5211
D7210
D7953
PLEASE HELP.
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Rank: Administration
Joined: 11/21/2012(UTC)
Posts: 1,611
Thanks: 39 times
Was thanked: 51 time(s) in 51 post(s)
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Hi Guest!
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
D7210 - Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated
D5211 - maxillary partial denture – resin base (including, retentive/clasping materials, rests, and teeth)
As for extractions & dentures, they 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!
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