Hi Jenn! D0140 – limited oral evaluation – problem focused can be crosscoded to: 99202 – level 2 new patient Evaluation & Management (office visit) or 99212 – level 2 established patient Evaluation & Management (office visit) D0220 – intraoral – periapical first radiographic image can be cross coded to: 70300 – Radiologic examination, teeth; single view D0470 – diagnostic casts 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 There aren”t any standard modifiers to use on these codes, although if the casts & veneer were performed the same date as the office visit (the 99202 or 99212), you can append the modifier 25 to the office visit code to indicate it is a separately identifiable service. For the ICD-10 (diagnosis) codes, based on what you described, here are some coding options: S02.5XXA – Fracture of tooth (traumatic), initial encounter for closed fracture S02.5XXB – Fracture of tooth (traumatic), initial encounter for open fracture G89.11 – Acute pain due to trauma W17.81XA – Fall down embankment (hill), initial encounter Hope this helps!
