Hi Guest! No problem – although just a heads up, many medical insurers will specify in their coverage policies that they will only cover damage/trauma to “sound, natural teeth” as a result of an accident. D0140 – limited oral evaluation – problem focused Can be crosscoded to: 99201 – Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient”s and/or family”s needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family. or 99211 – Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. Usually, the presenting problem(s) are minimal. Typically, 5 minutes are spent performing or supervising these services. D3310 – endodontic therapy anterior tooth (excluding final restoration) D2962 – labial veneer (porcelain laminate) – laboratory D2331 – resin-based composite – two surfaces, anterior D2332 – resin-based composite – three surfaces, anterior The codes listed above do not 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 use the CPT code below and include a narrative report describing the procedure: 41899 – Unlisted procedure, dentoalveolar structures And some diagnosis coding options: K03.81 – Cracked tooth S02.5XXA – Fracture of tooth (traumatic), initial encounter for closed fracture S02.5XXB – Fracture of tooth (traumatic), initial encounter for open fracture S03.2XXA – Dislocation of tooth, initial encounter M26.34 – Vertical displacement of fully erupted tooth or teeth M26.33 – Horizontal displacement of fully erupted tooth or teeth K08.531 – Fractured dental restorative material with loss of material K08.530 – Fractured dental restorative material without loss of material And for the fall i”ll need a few more details to offer diagnosis coding options. Did the patient simply slip on the floor, or in the shower? strike any objects on the way down?
