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Hi could i get the following dental codes converted to medical codes please d9248 d7210 d7921 d7285 d4355 d0367 d0367 thanks
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Joined: 11/21/2012(UTC) Posts: 1,611
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Hi Guest!
D9248 - non-intravenous conscious sedation For patients 5+ years old, can be cross coded 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 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)
D7210 - Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated D7921 – collection and application of autologous blood concentrate product D4355 - full mouth debridement to enable comprehensive evaluation and diagnosis
There are not direct crosscodes we are aware of for the procedures listed above, so you can either use 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
D0367 - Cone beam CT capture with interpretation with field of view of both jaws, with or without cranium
there is actually not currently a specific CPT code for CBCT……the closest CPT code is: “70486 - Computed tomography, maxillofacial area; without contrast material”. Many offices have been using this for some time for CBCT, however, some medical insurers are auditing that code when used for CBCT because the description does not specify “cone beam”.
So, “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"
D7285 - incisional biopsy of oral tissue-hard (bone, tooth) can be crosscoded to: 20240 - Biopsy, bone, excisional; superficial
Hope this helps!
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