- This topic is empty.
-
Posts
-
Hi Guest! D9940 D9940 has been deleted from the coding system, replaced with the following 3 codes: D9944 occlusal guard – hard appliance, full arch D9945 occlusal guard – soft appliance, full arch D9946 occlusal guard – hard appliance, partial arch If this code is being use to bill medical insurance for appliances being used to treat temporomandibular joint disorders, most practices we work with will code that as D7880, which stands for: occlusal orthotic device, by report Since this code has “by report” in the description, they can explain in the narrative report what the appliance is/does. Now, you will every so often run into a medical insurer that will not process any code starting with a “D” – most do these days, but not all. In those cases, you end up using the closed CPT code that is “by report” or “miscellaneous”. The top options seem to be: 21299 – Unlisted craniofacial and maxillofacial procedure E1399 – Durable medical equipment, miscellaneous D2740 – crown – porcelain/ceramic substrate D2750 – crown – porcelain fused to high noble metal There are not a direct crosscodes we are aware of for these procedures, so you can either use the “D” code on the pre-authorization request/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!
Hello, can you please help me convert the following “Dental Codes” into “Medical Codes” D9940 D2740 D2750 Thank you very much
Hi Guest! D7140 – Extraction, erupted tooth or exposed root (elevation and/or forceps removal) Extractions do 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!
Hi paulduman! D7285 – incisional biopsy of oral tissue-hard (bone, tooth) can be crosscoded to: 20240 – Biopsy, bone, excisional; superficial Hope this helps!
I need help converting a Dental Code……D7285: Incisional biopsy of oral tissue-hard (bone tooth)……..to a CPT code for an insurance claim. Any help would be miuch appreciated. Thanks!
Hi Guest! D7450 – removal of benign odontogenic cyst or tumor – lesion diameter up to 1.25 cm can be crosscoded to: 41825 – Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair D7953 – bone replacement graft for ridge preservation – per site Can be cross coded to: 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 D4265 – biologic materials to aid in soft and osseous tissue regeneration Can be cross coded to: 99070 – Supplies and materials (except spectacles), provided by the physician or other qualified health care professional over and above those usually included with the office visit or other services rendered (list drugs, trays, supplies, or materials provided) Hope this helps!
Looking for help.. Can someone convert these dental codes to Medical codes so I can get reimbursed for my husband”s Motorcycle accident: Husband broke his bridge and knocked out a tooth or two. D2740 D2950 D6740 D6245 D2954 D2331 Kind Regards, Annette
Hi Guest! No problem. Just a heads up, most medical insurers do specify that they will cover accidental injury to “sound, natural teeth”, so you may run into issues with coverage of the broken bridge – but the knocked out teeth may certainly be covered. D2740 – crown – porcelain/ceramic D2950 – core buildup, including any pins when required D6740 – retainer crown – porcelain/ceramic D6245 – pontic – porcelain/ceramic D2954 – prefabricated post and core in addition to crown D2331 – resin-based composite – two surfaces, anterior 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 code below and include a narrative report describing the procedure: 41899 – Unlisted procedure, dentoalveolar structures You”ll also need ICD-10 (diagnosis) codes to describe the injury & accident. Here are some common ones for motorcycle accidents: S02.5XXA – Fracture of tooth (traumatic), initial encounter for closed fracture S02.5XXB – Fracture of tooth (traumatic), initial encounter for open fracture 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 G89.11 – Acute pain due to trauma As for the diagnosis code to describe the accident, if you would like to reply with a few more details about the accident I am happy to offer you some coding options. I”ll need the following details: – was your husband the driver or a passenger? – was there is a collision with another vehicle? If so, what kind? (car, truck, SUV, etc) – or, was there a collision with something else? (i.e. stationary object, animal, etc) Hope this helps!
Hi there, One of our patients in the dental office, has had a considerable amount of treatment due to cancer treatment. His dental policy has maxed and now we want to try to bill his medical insurance. Can the dental codes listed be converted to medical codes? D0220 D2330 D2331 D2332 D2334 D2391 D2392 D2393 D2394 D2740 Thank you for your help.
Hi Guest! D9944 – occlusal guard – hard appliance, full arch The diagnosis code(s) used will depend on the condition/symptoms, or in other words, why is the patient receiving the services? For example, if the patient is receiving an occlusal guard due to bruxism, you may consider: G47.63 – Sleep related bruxism F45.8 – Other somatoform disorders If you”d like to provide some information about the patient”s condition/symptoms, I”m happy to offer you some coding options. Hope this helps!
- You must be logged in to reply to this topic.