Nierman Practice Management (Home) › Forums › Dental to Medical Billing, Coding & Documentation › Dental Codes to Medical Code for Sx
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06/12/2024 at 3:10 pm #243929
Jeremy Hobbs
Keymasterdiagnosis codes, taxonomy, and place of service codes
08/01/2024 at 7:14 pm #255368niermanpm
ParticipantHi Guest! Certainly 🙂 First off, I wanted to let you know that D9239 – Intravenous moderate (conscious) sedation/anesthesia – first 15 minutes 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 and 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) (I noticed you have all 4 on the list, so you won”t want to use all 4) Also, 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 D7950 – osseous, osteoperiosteal, or cartilage graft of the mandible or maxilla – autogenous or nonautogenous, by report D7956 – guided tissue regeneration, edentulous area – resorbable barrier, per site The 2 codes listed above 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 Now, as for the place of service code for these services, typically it would be place of service 11, which stands for “office”. If it was done a different type of location (i.e. ambulatory surgical center is place of service 24), here is a list of all place of service codes: As for the taxonomy code, this is not typically required on a CMS 1500 medical claim form at this point in time, however, if you need to locate it, you can find the taxonomy code(s) associated with the provider”s NPI on the NPPES registry: (you”ll search the NPI, select it, and scroll to the bottom of the NPI number details to find the taxonomy code associated with that NPI). As for the diagnosis code(s) for these services, that will depend on why the patient is receiving the services. If you would like to reply with some details regarding the patient”s condition, I”m happy to offer you some coding options. Hope this helps!
08/01/2024 at 7:14 pm #255372niermanpm
ParticipantHello, Would anyone be able to help me with the information I am looking for. Diagnosis codes, taxonomy, and place of service codes for: D9239 D9243 D7210 D6010 D7950 D7956 99152 99153 21210 0552T.6V Thank you so much
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