Nierman Practice Management (Home) › Forums › Dental to Medical Billing, Coding & Documentation › cross coding dental codes to medical codes
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08/12/2018 at 12:00 am #256348
niermanpm
ParticipantCan someone help me find the medical codes for the listed dental codes, so I can bill my insurance? D9243 D6190 D6078 D7912 D0330 D9221D7210 D0171
10/12/2018 at 12:00 am #256347niermanpm
ParticipantHi guest! D9243 – Intravenous moderate (conscious) sedation/analgesia – each 15 minute increment can be crosscoded to: 99152 Moderate sedation services 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; initial 15 minutes of intraservice time, patient age 5 years or older 99153 Moderate sedation services 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 intraservice time (list separately in addition to code for primary service) D9221 – deep sedation/general anesthesia – each additional 15 minutes Can be crosscoded to: 00170 Anesthesia for intraoral procedures, including biopsy; not otherwise specified D0330 – panoramic radiographic image Can be cross coded to: 70355 – Orthopantogram (eg, panoramic x-ray) D7912 – complicated suture – greater than 5 cm can be crosscoded to: 40831 – repair mouth laceration, complex or 2.5 or more D0171 – re-evaluation – post-operative office visit can be crosscoded to: 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. D6190 – radiographic/surgical implant index, by report D6078 – Implant/abutment supported fixed denture for completely edentulous arch D7210 – Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated 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 use the CPT codes below and include a narrative report describing the procedure: 41899 – Unlisted procedure, dentoalveolar structures Hope this helps!
06/12/2024 at 3:10 pm #244305Jeremy Hobbs
Keymastermedical codes
08/01/2024 at 7:15 pm #256014niermanpm
ParticipantHi Guestkim! Here are some coding options below for bone grafts and implants: 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 21248 – Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial(3or less) 21249 – Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete (4 or more) Hope this helps!
08/01/2024 at 7:15 pm #256017niermanpm
ParticipantI need the medical coding to bill my dental surgeries that were performed in office..I had massive maxillary an ethmoid sinus infections that spread to my gums, compromised my existing dental work and resulted in bone graft surgery and implants..Medical health insurance needs cut codes for in office procedures
08/01/2024 at 7:16 pm #256334niermanpm
ParticipantThank you so much….
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