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Does anyone know of a Prosthodontist that will bill to a medical provider in Florida? I have been able to get my daughters Implants covered by my insurance BCBS but I can”t find anyone for her restorative work that will bill to medical. Thanks, Charlie
Hi Charlie! If you”d like to send us an e-mail to contactus@dentalwriter.com and let us know your zip code, we”re happy to provide you some contact information for dental practices nearest to you who may be able to help.
Hi guest! D2740 = crown – porcelain/ceramic substrate There is not a specific CPT code that represent this procedure, so you can either file D2740 on the medical claim, or if the BCBS you are filing to does not process “D” codes (many medical insurers do process “D” codes these days), you can use a miscellaneous CPT code and include a narrative report to describe the procedure, such as: 41899 – Unlisted procedure, dentoalveolar structures Hope this helps!
Hi guest! D7220 – removal of impacted tooth – soft tissue D7230 – removal of impacted tooth – partially bony The codes listed above do not have direct crosscodes 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 try one of the CPT codes below and include a narrative report describing the procedure: 41899 – Unlisted procedure, dentoalveolar structures D7951 – sinus augmentation with bone or bone substitutes via a lateral open approach can be crosscoded to: 21210 – graft, bone; nasal, maxillary, or malar areas *use -52 modifier for reduced services when bone is not obtained from the patient or 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 try the CPT code below and include a narrative report describing the procedure: 21299 – Unlisted craniofacial and maxillofacial procedure D9243 – Intravenous moderate (conscious) sedation/analgesia – each 15 minute increment Here are some coding options for the above: 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 01999 – Unlisted anesthesia procedure(s) • 99143 – Moderate sedation services (other than those services described by codes 00100-01999) provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient”s level of consciousness and physiological status; younger than 5 years of age, first 30 minutes intra-service time • 99144 – Moderate sedation services (other than those services described by codes 00100-01999) provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient”s level of consciousness and physiological status; age 5 years or older, first 30 minutes intra-service time • 99145 – Moderate sedation services (other than those services described by codes 00100-01999) provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient”s level of consciousness and physiological status; each additional 15 minutes intra-service time (List separately in addition to code for primary service) • 99148 – Moderate sedation services (other than those services described by codes 00100-01999), provided by a physician or other qualified health care professional other than the health care professional performing the diagnostic or therapeutic service that the sedation supports; younger than 5 years of age, first 30 minutes intra-service time • 99149 – Moderate sedation services (other than those services described by codes 00100-01999), provided by a physician or other qualified health care professional other than the health care professional performing the diagnostic or therapeutic service that the sedation supports; age 5 years or older, first 30 minutes intra-service time • 99150 – Moderate sedation services (other than those services described by codes 00100-01999), provided by a physician or other qualified health care professional other than the health care professional performing the diagnostic or therapeutic service that the sedation supports; each additional 15 minutes intra-service time (List separately in addition to code for primary service) Hope this helps, have a great day!
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