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Hello,
I am trying to find out medicaid reimbursement for 41899 by state. Is there an easy way to do this? It is typically used for facility fees for dental procedures.
Thanks!
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Rank: Administration
Joined: 11/21/2012(UTC) Posts: 1,611
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Hi Guest!
Great question. 41899 actually does not typically have a set allowed amount, as the description of the code is: 41899 - Unlisted procedure, dentoalveolar structures
Since it is "unlisted", this code gets used to represent a myriad of different procedures - i.e. extractions, crowns, etc.......anything that doesn't have a specific CPT assigned related to the dentoalveolar structures!
Hope this helps, have a great day!
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Rank: Guest
Joined: 9/8/2012(UTC) Posts: 16,816
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Does anyone have dental procedure codes converted to medical billing codes? D0140 D0210 D0330 D0220 D2335 D1120 D1206
D0120
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Rank: Administration
Joined: 11/21/2012(UTC) Posts: 1,611
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Hi Guest!
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)
D0210 - intraoral - complete series of radiographic images can be crosscoded to: 70320 - Radiologic examination, teeth; complete, full mouth
D0330 - panoramic radiographic image Can be cross coded to: 70355 - Orthopantogram (eg, panoramic x-ray)
D0220 - intraoral - periapical first radiographic image can be cross coded to: 70300 - Radiologic examination, teeth; single view
D0120 - periodic oral evaluation - established patient can be crosscoded to: 99212 - level 2 established patient Evaluation & Management (office visit)
D1206 - topical application of fluoride varnish D1120 - prophylaxis - child D2335 - resin-based composite - four or more surfaces or involving incisal angle (anterior)
There are not direct crosscodes we are aware of for these services, 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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