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Janesore
#1 Posted : Tuesday, November 28, 2017 5:01:41 PM(UTC)
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We have replaced the Gold with Porcelain. I used K0855,(D2740) and L23.0 Allergy. I do not have a code for the build up, D2950? Am I even close to being right?
Thank You
mbrzezinski
#2 Posted : Wednesday, November 29, 2017 9:31:46 AM(UTC)
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mbrzezinski

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Hi Janesore,
K08.55- Allergy to existing dental restorative material
L23.0-Allergic contact dermatitis (would not be appropriate for this case)


D2950 - core buildup, including any pins when required
D2740 - crown - porcelain/ceramic substrate


The codes listed above do not have direct crosscodes 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 try the CPT codes below and include a narrative report describing the procedure:
41899 - Unlisted procedure, dentoalveolar structures
or
99070 - Supplies and materials (except spectacles), provided by the physician or other qualified health care professional over and above those usually included with the office visit or other services rendered (list drugs, trays, supplies, or materials provided)

Hope this helps!
Janesore
#3 Posted : Wednesday, November 29, 2017 11:30:12 AM(UTC)
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Thank You! I will send the claim off and see what happens. Much appreciated!

Edited by user Wednesday, November 29, 2017 11:31:40 AM(UTC)  | Reason: spelling

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