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D0330 Panoramic film D0363 Cone beam-3D multi img reconst D7820 Closed reduction of dislocate D7880 Occlusal Orthotic device Can someone help me get the medical cross coding for these please
Hi guest! D0330 – panoramic radiographic image Can be cross coded to: 70355 – Orthopantogram (eg, panoramic x-ray) D0363 – Cone-Beam 3D multi image reconstruction 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. For example, here are the “D” codes from HealthPartner’s medical policy for “Cone-beam computed tomography (CT) scan for medically-related dental services” D0363 – Cone-Beam 3D multi image reconstruction D0364 – Cone beam CT capture and interpretation with limited field of view – less than one whole jaw D0365 – Cone beam CT capture and interpretation with field of view of one full dental arc – mandible D0366 – Cone beam CT capture and interpretation with field of view of one full dental arch – maxilla, with or without cranium D0367 – Cone beam CT capture with interpretation with field of view of both jaws, with or without cranium D0368 – Cone beam CT capture and interpretation for TMJ series including two or more exposures D0380 – Cone beam CT image capture with limited field of view – less than one whole jaw D0381 – Cone beam CT image capture with field of view of one full dental arch – mandible D0382 – Cone beam CT image capture with field of view of one full dental arch – maxilla, with or without cranium D0383 – Cone beam CT image capture with field of view of both jaws, with or without cranium D0384 – Cone beam CT image capture for TMJ series including two or more exposures Here is a link to the full policy: D7820 – closed reduction of dislocation can be crosscoded to: 21480 – Closed treatment of temporomandibular dislocation; initial or subsequent 21485 – Closed treatment of temporomandibular dislocation; complicated (e.g., recurrent requiring intermaxillary fixation or splinting), initial or subsequent D7880 – occlusal orthotic device, by report There is not a specific crosscode for D7880. If you are using this code to represent an appliance being used to treat TMD: What we are finding is that the code that is most commonly accepted by medical insurers currently for TMD appliances since the S8262 discontinuation June 2015 is D7880. However, some insurers are accepting the other codes listed below as well: D7899 – unspecified TMD therapy, by report Or, if the medical insurer says they won’t process the “D” codes (most will these days, but you will run into a few that won’t), you can try: E1399 – Durable medical equipment, miscellaneous 21299 – Unlisted craniofacial and maxillofacial procedure 21499 – Unlisted musculoskeletal procedure, head A narrative report explaining the treatment accompanying the claim is recommended since they are all “by report”, “unlisted”, or “miscellaneous” codes. For example, Aetna”s medical policy for Temporomandibular disorders lists D7880 as an accepted HCPCS code is criteria is met: Hope this helps!
Hi Guest! 95800 – Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time There is not a corresponding dental code for 95800 for a home sleep test that we are aware of, as only medical insurance would offer coverage for this procedure to our knowledge. Hope this helps!
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