Dental Writer

DentalWriter Forum

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

Notification

Icon
Error
New Topic Post Reply
Question diagnosis code from dental to medical - I need the dx code for periodontitis so I can send to medical
Options Go to last post Go to first unread
Previous Topic Next Topic
Kathy H
#1 Posted : Thursday, April 27, 2017 1:22:25 PM(UTC)
Quote
Guest

Rank: Guest

Joined: 9/8/2012(UTC)
Posts: 17,244

Was thanked: 16 time(s) in 15 post(s)
Hi. Some of our dental patients want us to submit the periodontal surgery they had at our dental office to medical to see if it is covered. We do not participate with any medical/medicare companies. We have told them from prior experience that it probably won't be covered under their medical or medicare plans.
Right now I need the dx code for periodontitis under medical. Also can we just submit the dental codes on the medical claim form. We do not have access to conversion codes.

Thanks so much for your help.

Kathy H in Pa.
Back to top
courtneydsnow
#2 Posted : Thursday, May 4, 2017 9:19:09 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 guest!

Here are some ICD-10 coding options for you for periodontitis:

K05.211 Aggressive periodontitis, localized, slight
K05.212 Aggressive periodontitis, localized, moderate
K05.213 Aggressive periodontitis, localized, severe
K05.219 Aggressive periodontitis, localized, unspecified severity
K05.221 Aggressive periodontitis, generalized, slight
K05.222 Aggressive periodontitis, generalized, moderate
K05.223 Aggressive periodontitis, generalized, severe
K05.229 Aggressive periodontitis, generalized, unspecified severity
K05.311 Chronic periodontitis, localized, slight
K05.312 Chronic periodontitis, localized, moderate
K05.313 Chronic periodontitis, localized, severe
K05.319 Chronic periodontitis, localized, unspecified severity
K05.321 Chronic periodontitis, generalized, slight
K05.322 Chronic periodontitis, generalized, moderate
K05.323 Chronic periodontitis, generalized, severe
K05.329 Chronic periodontitis, generalized, unspecified severity
K05.4 - Periodontosis

As for the procedure codes, yes many medical insurers these day will accept the "D" codes on the medical claim for medically necessary services. If there is not a specific CPT code available to describe the procedure, you can use CPT code below and include a narrative report describing the procedure:
41899 - Unlisted procedure, dentoalveolar structures

Hope this helps!
Back to top
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.

Powered by YAF | YAF © 2003-2024, Yet Another Forum.NET