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I'm a patient, and the endodontic practice I received treatments at does not know the appropriate CPT codes to file medical claims. Does anybody know or can point me in the right direction for the following codes: D9110, D0380, D4320, D7270, D3310, D2330. Insurance is UHC if that helps. Tooth 8 and 9 were luxated upon impact with ground after fall. Edited by user Tuesday, January 12, 2021 1:11:04 PM(UTC)
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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 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
D0380 - Cone beam CT image capture with limited field of view - less than one whole jaw can be crosscoded to: 70486 - Computed tomography, maxillofacial area; without contrast material
D7270 - Tooth reimplantation and/or stabilization of accidentally evulsed or displaced tooth
In Aetna's crosswalk for "Oral Surgery Medical In Nature", the crosscode for D7270 is listed as:
21140 - Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)
or you can use the CPT code below and include a narrative report describing the procedure(s): 41899 - Unlisted procedure, dentoalveolar structures
D4320 - provisional splinting - intracoronal D3310 - endodontic therapy anterior tooth (excluding final restoration) D2330 - resin-based composite - one surface, anterior
The three 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 use the CPT code below and include a narrative report describing the procedure: 41899 - Unlisted procedure, dentoalveolar structures
You will also need diagnosis codes to describe the trauma/damage to the teeth as well as the accident. For example, based on what you described, you may consider:
S03.2XXA - Dislocation of tooth, initial encounter G89.11 - Acute pain due to trauma V18.0XXA - Pedal cycle driver injured in noncollision transport accident in nontraffic accident, initial encounter
We recommend you confirm these diagnostic codes with your provider.
Hope this helps!
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