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Hi Guest! D7953 – bone replacement graft for ridge preservation – per site and D7951 – sinus augmentation with bone or bone substitutes via a lateral open approach for an upper tooth, can be cross coded to: 21210 – Graft, bone; nasal, maxillary or malar areas (includes obtaining graft) **use modifier -52 for reduced services when bone is not obtained from patient D9222 – deep sedation/general anesthesia – first 15 minutes and D9223 – deep sedation/general anesthesia – each additional 15 minutes can be crosscoded to: 00170 – Anesthesia for intraoral procedures, including biopsy; not otherwise specified 00172 – Anesthesia for intraoral procedures, including biopsy; repair of cleft palate 00174 – Anesthesia for intraoral procedures, including biopsy; excision of retropharyngeal tumor 00176 – Anesthesia for intraoral procedures, including biopsy; radical surgery 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 21249 – Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete D7140 – Extraction, erupted tooth or exposed root (elevation and/or forceps removal) D7956 – guided tissue regeneration, edentulous area – resorbable barrier, per site D6190 – radiographic/surgical implant index, by report The codes listed above do not have a direct crosscode we are aware of – 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!
Hi Guest! D8080- Comprehensive orthodontic treatment of the adolescent dentition Ortho does not have a direct crosscode we are aware of, many insurers these days will process “D” codes when they are medically necessary services – but since your insurer will not, or you can use the CPT code below and include a narrative report describing the procedure: 41899 – Unlisted procedure, dentoalveolar structures Or, we have seen a few insurers accept this code for ortho: 21110 – Application of interdental fixation device for conditions other than fracture or dislocation, includes removal Hope this helps!
My child has a repaired cleft palate and has had surgeries through the craniofacial department at Children”s in Seattle. She received braces when she turned 14 through their dental department. Our insurance supposedly covers this cost since she it is part of her craniofacial treatment. However, Children”s billed out insurance with dental codes that our insurance will not accept. They are asking for medical codes, but Children”s uses the D8080 dental code. Is there a medical code conversion? We have been battling this claim for two years. Sadly, she needs braces put on again next year and we haven”t paid for the first set.
Hi, My son had an accident, and his two front teeth were fractured. We have been having a two-year battle trying to get his claim paid. The billing dept. of our dentist office said they cannot convert the dental codes into a medical codes. I am lucky I found this forum. I need the below dental codes converted into CPT medical codes. I have viewed a few already but want to double check. D0140 = CPT99201 (new pt.) or CPT 99212 (est. pt.) D0220 = CPT70300 (radiologic examination teeth single view) D3310 = CPT41899 (unlisted procedure dentoalveolar structures) D2740 = CPT41899 (unlisted procedure dentoalveolar structures) D9944 = CPT41899 (unlisted procedure dentoalveolar structures) D9230 = D0270 = D2954 = D9230 = Thank you
Hi Guest! You are correct on the crosscodes you already listed, and here are the remaining: D0270 – bitewing – single radiographic image can be cross coded to: 70300 – Radiologic examination, teeth; single view D9230 – inhalation of nitrous oxide/analgesia, anxiolysis D9230 does not have a crosscode, so since it sounds like your medical insurer is not accepting the “D” code on the medical claim (many medical insurers will process the “D” code on the medical claim when they are medically necessary procedures these days), you may consider: 01999 – Unlisted anesthesia procedure(s) And heads up, some medical insurers will consider this included in the office visit (evaluation & management code) and will not pay it separately. D2954 – prefabricated post and core in addition to crown There are not direct crosscodes we are aware of for the procedures listed above, so you can either use 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. And since this is an accident case, you will want to provide ICD-10 diagnosis codes that describe the trauma to teeth, pain if present, and how the accident happened: For the fractured teeth: S02.5XXA – Fracture of tooth (traumatic), initial encounter for closed fracture S02.5XXB – Fracture of tooth (traumatic), initial encounter for open fracture If there was acute pain: G89.11 – Acute pain due to trauma And as for the code to describe how the accident happened, if you”d like to reply with some details about the accident i”m happy to offer you some coding options. There are codes for vehicle accidents, sports accidents, fights, falls, etc etc etc. Hope this helps!
Hello, we have a patient that was in a car accident and broke most of his front teeth. The dental code used was D2740 and D2950, D0350,D6750,D6245, D9944. We need to try to get the medical codes to replace the dental, so we may file with the medical company. Sorry for so many of the codes. Thank you in advance. Glenda
Hi Glenda! D2740 – crown – porcelain/ceramic D2950 – core buildup, including any pins when required D0350 – 2D oral/facial photographic image obtained intra-orally or extra-orally D6750 – retainer crown – porcelain fused to high noble metal D6245 – pontic – porcelain/ceramic D9944 – occlusal guard – hard appliance, full arch The codes listed above do not have direct crosscodes we are aware of – 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!
Isn”t the CPT code for Alveolar Ridge Fracture 21440; not 21140? 21140 is not in any of my coding books currently. I am coding for fracture repair with teeth stabilization. the teeth were luxated; not subluxed; not evulsed. D codes are either D7620 which really only crosses over to LeForte fractures and so isn”t really accurate for Alveolar Ridge so I am thinking the D7670- alveolus; includes stabilization. BUT…D7270 is for teeth reimplantation and/OR (or being key word) – stabilization of evulsed OR displaced tooth (luxated = Displaced) We simply placed arch bars to reduce fracture and restabalize teeth. I am needing to file Medical first as Dental requires medical eob.
Hi Guest! Yes 21140 is not a valid CPT code, that was a typo on my part! Thank you for pointing that out so i can correct that post! 21440 stands for: Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)
Hi Guest! No problem. For the trauma, you”re likely looking at: K08.411 – Partial loss of teeth due to trauma, class I K08.412 – Partial loss of teeth due to trauma, class II K08.413 – Partial loss of teeth due to trauma, class III K08.414 – Partial loss of teeth due to trauma, class IV K08.419 – Partial loss of teeth due to trauma, unspecified class There will also be a code to describe how to accident happened. Depending on the details of how it happened, here are some coding options: – W01.0XXA – Fall on same level from slipping, tripping and stumbling without subsequent striking against object, initial encounter – W01.198A – Fall on same level from slipping, tripping and stumbling with subsequent striking against other object, initial encounter – W03.XXXA – Other fall on same level due to collision with another person, initial encounter – W18.01XA – Striking against sports equipment with subsequent fall, initial encounter And a few to identify where it happened: Y92.39 – Other specified sports and athletic area as the place of occurrence of the external cause Y92.310 – Basketball court as the place of occurrence of the external cause Y92.311 – Squash court as the place of occurrence of the external cause Y92.312 – Tennis court as the place of occurrence of the external cause Y92.318 – Other athletic court as the place of occurrence of the external cause Y92.320 – Baseball field as the place of occurrence of the external cause Y92.321 – Football field as the place of occurrence of the external cause Y92.322 – Soccer field as the place of occurrence of the external cause Y92.328 – Other athletic field as the place of occurrence of the external cause Hope this helps!
Hi courtneydsnow is there anyway you can help me? My sons claim keeps getting denied and we live in a small town our dental office doesn’t know how to convert dental codes to medical codes. Can you please help us as we are having to pay everything out of pocket right now and it’s killing us financially. My son slipped and fell at school during athletics. He knocked out a permanent front too tooth. The dental codes we are trying to convert at this time are D0140, D0220 and D7270. Any help is appreciated!
Hi Guest! No problem 🙂 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. D0220 – intraoral – periapical first radiographic image can be cross coded to: 70300 – Radiologic examination, teeth; single view D7270 – Tooth reimplantation and/or stabilization of accidentally evulsed or displaced tooth In Aetna”s crosswalk for “Oral Surgery Medical In Nature”, the crosscode for D7270 is listed as: 21440 – Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure) or you can use the CPT codes below and include a narrative report describing the procedure(s): 41899 – Unlisted procedure, dentoalveolar structures Let me know if you need help with the diagnosis coding options as well. Hope this helps!
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