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I need help converting some dental codes to medical. D9110 D0220 D2740 D2954 D4249 D9230
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Rank: Administration
Joined: 11/21/2012(UTC) Posts: 1,611
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Hi Guest!
D9110 - palliative (emergency) treatment of dental pain - minor procedure
First, you will select an evaluation and management (E&M)/office visit code - such as 99201 or 99202 for a new patient, or 99211 or 99212 for an established patient)
Then, to indicate it was an emergency service, you can choose one of the following:
99050 — Services provided in the office at time other than regularly scheduled office hours, or days when the office is closed (e.g., holidays Saturday or Sunday), in addition to basic service
Or, if it was during regular office hours but disrupted the schedule:
99058 - Service(s) provided on an emergency basis in the office, which disrupts other scheduled office services, in addition to basic service
D0220 - intraoral - periapical first radiographic image can be cross coded to: 70300 - Radiologic examination, teeth; single view
D2740 - crown - porcelain/ceramic substrate D2954 - prefabricated post and core in addition to crown D4249 - clinical crown lengthening – hard tissue D9230 - Nitrous
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
Of course, don't forget your ICD-10 diagnosis codes. For example, for the fracture: S02.5XXA - Fracture of tooth (traumatic), initial encounter for closed fracture S02.5XXB - Fracture of tooth (traumatic), initial encounter for open fracture
And depending on how the patient fell: W01.0XXA - Fall on same level from slipping, tripping and stumbling without subsequent striking against object, initial encounter W01.198A - Fall on same level from slipping, tripping and stumbling with subsequent striking against other object, initial encounter
Hope this helps!
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