Nierman Practice Management (Home) › Forums › Dental to Medical Billing, Coding & Documentation › Dental Code Conversion!
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08/01/2024 at 7:15 pm #255783
niermanpm
ParticipantHi Guest! D7240 – Removal of impacted tooth – completely bony As for the CPT code for extractions, there is actually not 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 code below and include a narrative report describing the procedure: 41899 – Unlisted procedure, dentoalveolar structures Hope this helps!
08/01/2024 at 7:15 pm #255778niermanpm
ParticipantThis is perfect! Thank you so much!!
08/01/2024 at 7:15 pm #255780niermanpm
ParticipantHi Guest! So sorry about that, typo on my end!! D2740 – crown – porcelain/ceramic substrate There are not direct crosscodes we are aware of for crowns, 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: 41899 – Unlisted procedure, dentoalveolar structures Hope this helps!
08/01/2024 at 7:15 pm #255782niermanpm
ParticipantHello, I am actually looking for D2740 – cermaic crowns due to recurrent decay Is there a cross over coding for it? Thank you so much ahead of time!
08/01/2024 at 7:15 pm #255849niermanpm
ParticipantHi Guest! The diagnosis code(s) will depend on the patient”s condition/symptoms – so in other words, why is the patient receiving the services? For example, you may consider: Z01.20 – Encounter for dental examination and cleaning without abnormal findings Z01.21 – Encounter for dental examination and cleaning with abnormal findings K02.3 – Arrested dental caries K02.51 – Dental caries on pit and fissure surface limited to enamel K02.52 – Dental caries on pit and fissure surface penetrating into dentin K02.53 – Dental caries on pit and fissure surface penetrating into pulp K02.61 – Dental caries on smooth surface limited to enamel K02.62 – Dental caries on smooth surface penetrating into dentin K02.63 – Dental caries on smooth surface penetrating into pulp K02.7 – Dental root caries K02.9 – Dental caries, unspecified K03.89 – Other specified diseases of hard tissues of teeth K04.1 – Necrosis of pulp K04.2 – Pulp degeneration K04.01 – Reversible pulpitis K04.02 – Irreversible pulpitis K05.211 – Aggressive periodontitis, localized, slight K05.212 – Aggressive periodontitis, localized, moderate K05.213 – Aggressive periodontitis, localized, severe K05.219 – Aggressive periodontitis, localized, unspecified severity K05.221 – Aggressive periodontitis, generalized, slight K05.222 – Aggressive periodontitis, generalized, moderate K05.223 – Aggressive periodontitis, generalized, severe K05.229 – Aggressive periodontitis, generalized, unspecified severity K05.311 – Chronic periodontitis, localized, slight K05.312 – Chronic periodontitis, localized, moderate K05.313 – Chronic periodontitis, localized, severe K05.319 – Chronic periodontitis, localized, unspecified severity K05.321 – Chronic periodontitis, generalized, slight K05.322 – Chronic periodontitis, generalized, moderate K05.323 – Chronic periodontitis, generalized, severe K05.329 – Chronic periodontitis, generalized, unspecified severity K05.10 – Chronic gingivitis, plaque induced K05.11 – Chronic gingivitis, non-plaque induced K08.89 – Other specified disorders of teeth and supporting structures If you have additional details about the patient”s condition, i”m happy to offer you some coding options. Hope this helps!
08/01/2024 at 7:15 pm #255850niermanpm
ParticipantHi Guest! D0120 – periodic oral evaluation – established patient 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. 99212 – Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of 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. D1110 – prophylaxis – adult The code listed above does 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 try the CPT code below and include a narrative report describing the procedure: 41899 – Unlisted procedure, dentoalveolar structures Hope this helps! What will be the appropriate diagnostic code for D1110? Thank you!
08/01/2024 at 7:15 pm #255881niermanpm
ParticipantThank you so much!!
08/01/2024 at 7:15 pm #255894niermanpm
ParticipantCan you help convert these codes to the medical code? D0350 D1999 D9230 D7960 Thank you!
08/01/2024 at 7:15 pm #255896niermanpm
ParticipantHi Guest! D6752 – Retainer crown – porcelain fused to noble metal D6242 – Pontic – porcelain fused to noble metal There are not direct crosscodes we are aware of for these services, 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 Hope this helps!
08/01/2024 at 7:15 pm #255897niermanpm
ParticipantHello , I am trying to convert these dental codes into medical codes so my medical can pay it since it was do to accident. Please help! D6752.00 & D6242.00 Thanks!
08/01/2024 at 7:15 pm #255933niermanpm
ParticipantHi Guest! D0120 – periodic oral evaluation – established patient 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. 99212 – Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of 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. D1110 – prophylaxis – adult The code listed above does 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 try the CPT code below and include a narrative report describing the procedure: 41899 – Unlisted procedure, dentoalveolar structures Hope this helps!
08/01/2024 at 7:15 pm #255934niermanpm
ParticipantIm trying to convert D1110 & D0120 to medical. Please help
08/01/2024 at 7:15 pm #255954niermanpm
ParticipantIm trying to submit to medical for the d9950 does anyone know the medical code ?
08/01/2024 at 7:15 pm #255996niermanpm
ParticipantHi Guest! D0367 – Cone beam CT capture with interpretation with field of view of both jaws, with or without cranium there is actually not currently a specific CPT code for CBCT……the closest CPT code is: “70486 – Computed tomography, maxillofacial area; without contrast material”. Many offices have been using this for some time for CBCT, however, some medical insurers are auditing that code when used for CBCT because the description does not specify “cone beam”. So, “76497 – Unlisted computed tomography procedure (eg, diagnostic, interventional)” is an option to use (keep in mind you”ll need to provide a narrative description for unlisted codes) We also see practices billing out for “76102 – Radiologic examination, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than with urography; bilateral” 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(3or less) 21249 – Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete (4 or more) D6057 – custom fabricated abutment – includes placement The code listed above does 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 Hope this helps!
08/01/2024 at 7:15 pm #255997niermanpm
ParticipantHi, I need urgent help submitting to my medical insurance CPT codes. My dentist gave me the dental codes but they need to be medically equivalent to medical CPT codes so they can cover. I have called so many dental offices and my medical insurance and nobody has a clue. I hope you can help me with this that way I can be covered due to extreme pain. D0367 #8 D6010 #9 D6010 #8 D6057 #9 D6057
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