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Hello,
I am hoping to get some help here since I exhausted all possible avenues it seems like. My son had his baby tooth surgically removed. Through an accident the tooth got pushed up into his jaw and was not allowing the permanent tooth to form properly. Therefore, after 6 months of waiting and a CT scan, it was determined that the tooth should be removed.
I am now having the issue that the dentist office is not familiar with the medical coding system and our health insurance is also not of much help.
The dentist initially submitted the claim with the following dental codes:
D9230 and D7210 (tooth system JP, tooth number F).
If somebody could provide guidance what medical codes could be used I would be very thankful.
Thank you in advance.
Philip
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Hi Philip!
D9230 - inhalation of nitrous oxide / anxiolysis, analgesia
can be crosscoded to:
00170 - Anesthesia for intraoral procedures, including biopsy; not otherwise specified
D7210 - Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated
Extractions 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 codes below and include a narrative report describing the procedure:
41899 - Unlisted procedure, dentoalveolar structures
As for the diagnosis code(s), based on what you described, here are some options:
M26.33 - Horizontal displacement of fully erupted tooth or teeth
M26.34 - Vertical displacement of fully erupted tooth or teeth
M26.39 - Other anomalies of tooth position of fully erupted tooth or teeth
K01.1 - Impacted teeth
K01.0 - Embedded teeth
K00.4 - Disturbances in tooth formation
K00.6 - Disturbances in tooth eruption
Z18.32 - Retained tooth
Hope this helps!
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Rank: Guest
Joined: 9/8/2012(UTC)
Posts: 2,246
Was thanked: 16 time(s) in 15 post(s)
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Thank you so much Courtney. You made my day. It has been a nightmare going back and forth between parties. This truly helps! Happy Holidays and thank you again!!!
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Rank: Administration
Joined: 11/21/2012(UTC)
Posts: 1,732
Thanks: 39 times
Was thanked: 51 time(s) in 51 post(s)
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You're very welcome and happy holidays to you as well!
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