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Guest
#1 Posted : Tuesday, February 14, 2023 9:29:33 PM(UTC)
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Guest

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Hello,

Would anyone be able to help me with the information I am looking for. Diagnosis codes, taxonomy, and place of service codes for:

D9239
D9243
D7210
D6010
D7950
D7956
99152
99153
21210
0552T.6V

Thank you so much
courtneydsnow
#2 Posted : Monday, February 20, 2023 9:27:52 AM(UTC)
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courtneydsnow

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Hi Guest!

Certainly :) First off, I wanted to let you know that


D9239 - Intravenous moderate (conscious) sedation/anesthesia – first 15 minutes
D9243 - Intravenous moderate (conscious) sedation/analgesia – each 15 minute increment

can be crosscoded to:

99152
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient’s level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older

and

99153
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient’s level of consciousness and physiological status; each additional 15 minutes intraservice time (list separately in addition to code for primary service)

(I noticed you have all 4 on the list, so you won't want to use all 4)

Also, 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
21249 - Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete



D7950 - osseous, osteoperiosteal, or cartilage graft of the mandible or maxilla - autogenous or nonautogenous, by report
D7956 - guided tissue regeneration, edentulous area – resorbable barrier, per site

The 2 codes listed above do not have a direct crosscode 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 use the CPT code below and include a narrative report describing the procedure:
41899 - Unlisted procedure, dentoalveolar structures


Now, as for the place of service code for these services, typically it would be place of service 11, which stands for "office". If it was done a different type of location (i.e. ambulatory surgical center is place of service 24), here is a list of all place of service codes: https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set


As for the taxonomy code, this is not typically required on a CMS 1500 medical claim form at this point in time, however, if you need to locate it, you can find the taxonomy code(s) associated with the provider's NPI on the NPPES registry: https://npiregistry.cms.hhs.gov/search
(you'll search the NPI, select it, and scroll to the bottom of the NPI number details to find the taxonomy code associated with that NPI).


As for the diagnosis code(s) for these services, that will depend on why the patient is receiving the services. If you would like to reply with some details regarding the patient's condition, I'm happy to offer you some coding options.

Hope this helps!
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