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trying to find cpt code for d2950,d2962 on tooth 8 and 9.i am trying to submit to medical ins,as i fell and broke my two front teeth,arm and leg.the medical id good with the medical codes,but they want cpt code of dental stuff,not dental code.can anyone help me
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Joined: 11/21/2012(UTC) Posts: 1,611
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Hi Guest!
D2950 - core buildup, including any pins when required D2962 - labial veneer (porcelain laminate) - laboratory
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 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 represent the trauma to your teeth from the fall and the fall itself. It is best to confirm these codes with your provider to be sure they are accurate.
For example, for fractured teeth due to trauma: S02.5XXA - Fracture of tooth (traumatic), initial encounter for closed fracture S02.5XXB - Fracture of tooth (traumatic), initial encounter for open fracture
As for the fall, these diagnostic codes get very specific on how you fell, where you fell, and it you hit anything else during the fall. For example:
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
W03.XXXA - Other fall on same level due to collision with another person, initial encounter
If you fall does not fit the codes above, let me know some additional details and i can offer you some coding options.
Hope this helps!
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