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Guest
#1 Posted : Friday, July 22, 2016 11:18:56 AM(UTC)
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Guest

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Hello !

I was hoping to get some help on sending a medical claim for a denial, in order to get dental to process the claim. Can you please help me convert the following dental codes and also some diagnosis codes needed for them? Also will I need modifiers? Thank you so much !! I am having a hard time getting anything through with medical.


D7210
D7220
D7230
D7240
D6010
D7953
D7950
D7951
D7952
D9223
D9612


Sorry for all the codes
Guest
#2 Posted : Friday, July 22, 2016 11:29:34 AM(UTC)
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Hi,

Do you know any dental codes for emergency visits/exams and emergency extractions?

Thank you
courtneydsnow
#3 Posted : Friday, July 22, 2016 1:14:48 PM(UTC)
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courtneydsnow

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Hi guest!

D7210 - surgical removal of erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated
D7220 - removal of impacted tooth - soft tissue
D7230 - removal of impacted tooth - partially bony
D7240 - removal of impacted tooth - completely bony

None of the codes listed above 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 try the CPT code below and include a narrative report describing the procedure:
41899 - Unlisted procedure, dentoalveolar structures


D6010 - surgical placement of implant body: endosteal implant
can be crosscoded to:
21248 Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial
21249 Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete



D7953 - bone replacement graft for ridge preservation - per site
D7950 - osseous, osteoperiosteal, or cartilage graft of the mandible or maxilla - autogenous or nonautogenous, by report
Can be cross coded to:
21210 - Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)
21215 - Graft, bone; mandible (includes obtaining graft)
**use modifier -52 for reduced services when bone is not obtained from patient


D7951 - sinus augmentation with bone or bone substitutes via a lateral open approach
D7952 - sinus augmentation via a vertical approach
can be crosscoded to:
21210 - graft, bone; nasal, maxillary, or malar areas
*use -52 modifier for reduced services when bone is not obtained from the patient


D9223 - deep sedation/general anesthesia — each 15-minute increment
can be crosscoded to:
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)


D9612 - therapeutic parenteral drugs, two or more administrations, different medications
can be crosscoded to:
00170 - anesthesia, procedure on mouth

Hope this helps, have a great day!
courtneydsnow
#4 Posted : Friday, July 22, 2016 1:18:08 PM(UTC)
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courtneydsnow

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Hi guest!

Here is a link to a great article from Dentistry IQ that covers important dental codes for emergency visits:

http://www.dentistryiq.com/articles/dem/print/volume-8/issue-2/assistants/do-you-know-the-code.html

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