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Will someone please send me cross codes for the following dental "D" codes:
D5810 D5811 D6010 D6190 D6056 D9243 D6199 D9940
I've billed medical before but some of these codes are new to our office.
Thank you for your help!
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Rank: Advanced Member
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Hi Guest!
D6010 - surgical placement of implant body: endosteal implant can be crosscoded to: 21248 - Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial(3or less) 21249 - Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete (4 or more)
D9243 - Intravenous moderate (conscious) sedation/analgesia – each 15 minute increment
Here are some coding options below:
00170 - Anesthesia for intraoral procedures, including biopsy; not otherwise specified 00172 - Anesthesia for intraoral procedures, including biopsy; repair of cleft palate 00174 - Anesthesia for intraoral procedures, including biopsy; excision of retropharyngeal tumor 00176 - Anesthesia for intraoral procedures, including biopsy; radical surgery 01999 - Unlisted anesthesia procedure(s)
D5810 – interim complete denture (maxillary) D5811 - interim complete denture (mandibular) D6190 - radiographic/surgical implant index, by report D9940 - occlusal guard, by report D6056 - prefabricated abutment - includes modification and placement D6199- unspecified implant procedure, by report
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 code below and include a narrative report describing the procedure: 41899 - Unlisted procedure, dentoalveolar structures
Hope this helps!
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Rank: Guest
Joined: 9/8/2012(UTC) Posts: 16,811
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Rank: Guest
Joined: 9/8/2012(UTC) Posts: 16,811
Was thanked: 16 time(s) in 15 post(s)
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We are trying to file with Medicare the D9999, i know they don't pay it but we need the denial for Medicaid to pay the claim. Can I use 41899 to get this to pass thru if i list it as unlisted dental procedure in my description on the claim?
We are an outpatient surgery center (not ASC). I don't want to get into trouble with Medicare, but we need the denials in order to get paid by the secondary and the D codes will not allow us to even send them out.
Thanks A Million!!!
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Rank: Administration
Joined: 11/21/2012(UTC) Posts: 1,611
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Hi Lynn!
Yes 41899 with a narrative report describing the procedure sounds like a great option.
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