Nierman Practice Management (Home) Forums Dental to Medical Billing, Coding & Documentation Need a D Code for 41899 facility fee at an outpatient surgery center

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  • #255981
    niermanpm
    Participant

    Can you use 41899 as a facility code?

    #255979
    niermanpm
    Participant

    Hi Guest! Yes i do find 41899 referenced in reimbursement policies for facilities, for example here is one from UPHP health plan relating to hospital outpatient: and another from caresource relating to ambulatory surgical centers: Hope this helps!

    #244384
    Jeremy Hobbs
    Keymaster

    Help

    #256486
    niermanpm
    Participant

    Hi Guest! No problem we”re happy to help. 41899 actaully stands for: Unlisted procedure, dentoalveolar structures This code is commonly used to represent many different services that do not have their own specific CPT codes assigned (i.e. there is not a CPT/medical code for an extraction of a tooth, but if it is covered under the patient”s medical policy, this code could be used to represent the extraction). So, in order to be able to give you any coding options, I would need more information about what service the outpatient surgery center was using 41899 to represent.

    #256487
    niermanpm
    Participant

    Need a D Code for 41899 facility fee at an outpatient surgery center related to my autistic son being put under (I have the d code for his anesthesia)so I can submit to metlife

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