Nierman Practice Management (Home) › Forums › Dental to Medical Billing, Coding & Documentation › Are these codes applicable to medical insurance? › Unique Title 1710 1710 1710
Hi Guest! Great question. Crowns & abutments are not typically covered by medical insurance, except under special circumstances where they are considered medically necessary, for example, if they are needed due to an accidental injury case. If it is a situation like that, you would typically want to file these services to medical before attempting anything on the dental side. Crowns & abutments do not have a direct crosscode, 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 Hope this helps!