Hi Guest! D0140 – limited oral evaluation – problem focused D0150 – comprehensive oral evaluation – new or established patient D9310 – consultation – diagnostic service provided by dentist or physician other than requesting dentist or physician The three codes above can be crosscoded to a new or established patient evaluation & management (E&M) codes – 99202-99205 (new patients), or 99211-99215 (established patient): New patients: 99202 – 15-29 mins 99203 – 30-44 mins 99204 – 45-59 mins 99205 – 60-74 mins Established patients: 99212 – 10-19 mins 99213 – 20-29 mins 99214 – 30-39 mins 99215 – 40-54 mins D0220 – intraoral – periapical first radiographic image D0270 – bitewing – single radiographic image can be cross coded to: 70300 – Radiologic examination, teeth; single view D0230 – intraoral – periapical each additional radiographic image Can be cross coded to: 70310 – Radiologic examination, teeth; partial examination, less than full mouth D0364 – Cone beam CT capture and interpretation with limited field of view – less than one whole jaw Can be cross coded to: 76380 – Computed tomography, limited or localized follow-up study D3310 – Endodontic therapy anterior tooth (excluding final restoration) D2330 – resin-based composite – one surface, anterior D3346 – retreatment of previous root canal therapy – anterior D2950 – core buildup, including any pins when required D2740 – crown – porcelain/ceramic D3331 – treatment of root canal obstruction; non-surgical access D3999 – unspecified endodontic procedure, by report The codes listed above do not have direct crosscodes we are aware of – many insurers these days will process “D” codes when they are medically necessary services, but since your insurer is not taking them, you can try the CPT code below and include a narrative report describing the procedure: 41899 – Unlisted procedure, dentoalveolar structures You will also need diagnosis (ICD-10) codes to describe the injury to your teeth as well as how the accident happened. Based on what you described, here are some coding options for the injury (I recommend having your dentists review these for appropriateness of your case): For the broken/fractured teeth: S02.5XXD – Fracture of tooth (traumatic), subsequent encounter for fracture with routine healing S02.5XXG – Fracture of tooth (traumatic), subsequent encounter for fracture with delayed healing S02.5XXK – Fracture of tooth (traumatic), subsequent encounter for fracture with nonunion For the avulsed tooth: S03.2XXD – Dislocation of tooth, subsequent encounter If there was pain: G89.11 – Acute pain due to trauma For for the code to describe the accident itself, if you”d like to provide me with some details about what type of accident it was and how it happened I”m happy to offer you some coding options. Hope this helps!
