Nierman Practice Management (Home) › Forums › Dental to Medical Billing, Coding & Documentation › Medical Codes Needed for Insurance Filing › Unique Title 1602 1602 1602
Hi Guest! Good work on the research there!! 🙂 D7953 – bone replacement graft for ridge preservation – per site 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 D6010 – surgical placement of implant body: endosteal implant can be cross coded to: 21248 – Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial (3 or less) (basically, if it was 3 or less implants, you”ll use 21248 instead of 21249) D9310 – consultation – diagnostic service provided by dentist or physician other than requesting dentist or physician 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 D0364 – Cone beam CT capture and interpretation with limited field of view – less than one whole jaw so, yes 76497 (Unlisted computed tomography procedure (eg, diagnostic, interventional) is an option to use (keep in mind you”ll need to provide a narrative description for unlisted codes.) We also see practices billing out for 76102 (Radiologic examination, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than with urography; bilateral). Some insurers (i.e. UHC) state to use 70486 (Computed tomography, maxillofacial area; without contrast material). D7210 – Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated And yes, extractions 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!