DentalWriter Forum

Your central resource for DentalWriter posts, blogs, training resources, faq's, and more.

Notification

Icon
Error

New Topic Post Reply
Guest
#1 Posted : Friday, May 4, 2018 6:56:00 PM(UTC)
Quote
Guest

Rank: Guest

Joined: 9/8/2012(UTC)
Posts: 16,072

Was thanked: 16 time(s) in 15 post(s)
Hi,
I was hoping this forum could help me with billing issues. I had a 5x5mm nodule removed from the dorsal right side of my tongue and the dr office said they could bill it as medical but now tell me I have to do and won't give me codes. Can someone help me translate these to medical codes so I can get covered under Blue Cross.

Specialist consultation for a DMD maxofacial surgeon 9310
Biopsy of oral tissue-soft 7286

thank you for any help you can provide and I will look back at the site for a possible answer,

andy
courtneydsnow
#2 Posted : Monday, May 7, 2018 8:49:49 AM(UTC)
Quote
courtneydsnow

Rank: Administration

Joined: 11/21/2012(UTC)
Posts: 1,611

Thanks: 39 times
Was thanked: 51 time(s) in 51 post(s)
Hi Andy!

D9310 - consultation - diagnostic service provided by dentist or physician other than requesting dentist or physician
Can be crosscoded to:
• 99241 - Office consultation for a new or established patient, which requires these 3 key components: A problem focused history; A problem focused examination; and 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, 15 minutes are spent face-to-face with the patient and/or family.
or
• 99242 - Office consultation for a new or established patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and 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 of low severity. Typically, 30 minutes are spent face-to-face with the patient and/or family.


D7286 - incisional biopsy of oral tissue-soft
Since you indicated it was your tongue, you are likely looking at one the following two options:
41110 - Biopsy of tongue, anterior two-thirds
41105 - Biopsy of tongue, posterior one-third


Hope this helps!
Guest
#3 Posted : Tuesday, May 8, 2018 12:54:38 PM(UTC)
Quote
Guest

Rank: Guest

Joined: 9/8/2012(UTC)
Posts: 16,072

Was thanked: 16 time(s) in 15 post(s)
Thank you very much.
Quick Reply Show Quick Reply
New Topic Post Reply
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.