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Hi Guest! D0160 – detailed and extensive oral evaluation – problem focused, by report can be crosscoded to a new or established patient evaluation & management (E&M) codes – 99202-99205 (new patients), or 99211-99215 (established patient): New patients: 99202 – 15-29 mins 99203 – 30-44 mins 99204 – 45-59 mins 99205 – 60-74 mins Established patients: 99212 – 10-19 mins 99213 – 20-29 mins 99214 – 30-39 mins 99215 – 40-54 mins D2954 – prefabricated post and core in addition to crown The code listed above does not have a direct crosscodes we are aware of – 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!
I need help changing my dental surgery for a tumor to medical codes. D7451:D7950:D7921:D0367:D9310 D7999 Can you help?
D7451 – removal of benign odontogenic cyst or tumor – lesion diameter greater than 1.25 cm Can be cross coded to: 41825 – excision dentoalveolar lesion w/o repair 41826 – excision dentoalveolar lesion, w/ simple repair D7950- osseous, osteoperiosteal, or cartilage graft of the mandible or maxilla – autogenous or nonautogenous, by report 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 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 a good CPT code to use, or, many medical insurers will process the “D” codes for procedures when there is not a specific CPT code available. D9310 – consultation – diagnostic service provided by dentist or physician other than requesting dentist or physician Can be crosscoded to: • 99241 – Office consultation for a new or established patient, which requires these 3 key components: A problem focused history; A problem focused examination; and 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, 15 minutes are spent face-to-face with the patient and/or family. • 99242 – Office consultation for a new or established patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and 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 of low severity. Typically, 30 minutes are spent face-to-face with the patient and/or family. D7921 – collection and application of autologous blood concentrate product D7999 uspecified oral surgery procedure, by report None of the codes listed above 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!
Hi Guest! No problem. The diagnosis code(s) will depend on the reason the grafts are being performed. Here are some common ones we see used: K08.21 – Minimal atrophy of the mandible K08.22 – Moderate atrophy of the mandible K08.23 – Severe atrophy of the mandible K08.24 – Minimal atrophy of maxilla K08.25 – Moderate atrophy of the maxilla K08.26 – Severe atrophy of the maxilla If there are other conditions/issues present, let me know what they are and I am happy to offer you some coding options.
D7950 – osseous, osteoperiosteal, or cartilage graft of the mandible or maxilla – autogenous or nonautogenous, by report 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 I am trying to cross code d7950 with medical codes. I have the conversion codes but need diagnosis codes. Can someone please help?
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