Rank: Guest
Joined: 9/8/2012(UTC) Posts: 16,083
Was thanked: 16 time(s) in 15 post(s)
|
Front tooth was broken under the gum line due to trauma. The medical insurance dental rider covers this repair but we have been frustrated as the dental office is unfamiliar with medical claims submissions and the insurance provider is completely unhelpful.
We need to find the medical insurance codes to finish the permanent tooth installation: D6057 - Custom abutment D6058 - Permanent crown
Can you provide the corresponding medical codes?
THanks!
|
|
|
|
Rank: Administration
Joined: 11/21/2012(UTC) Posts: 1,611
Thanks: 39 times Was thanked: 51 time(s) in 51 post(s)
|
Hi Guest!
No problem, based on what you described, here are some coding options below:
ICD (diagnosis) S02.5XXA - Fracture of tooth (traumatic), initial encounter for closed fracture S02.5XXB - Fracture of tooth (traumatic), initial encounter for open fracture
CPT (procedure) D6057 - custom fabricated abutment - includes placement D6058 - abutment supported porcelain/ceramic crown
The codes listed above does 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
Hope this helps!
|
|
|
|
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.