Hello- I am the OP from a few months ago and need more help… Thanks for the info: the insurance company is kicking back the procedure code 99221 due to it being linked to inpatient care. The procedure was done by an oral surgeon/dentist at a hospital but on outpatient basis– it required anesthesia which was not available at their office so required the hospital visit…They are ok with the K08.411 – Partial loss of teeth due to trauma, class I as recommended. Can you tell me the applicable codes for “evaluation for outpatient” or the like? The thread shown below correctly identifies the issue which was denied using dental codes at first and then converted to 99221 and K08.411 and denied again…I then filed an appeal with the insurance company and they have agreed to pay for it but need the correct “outpatient” code for it to process through their system. https://dentalwriter.com/forum/default.aspx?g=posts&t=744 Thanks for the help- 7 months waiting and HOURS of work riding on this..
