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courtneydsnow
#61 Posted : Friday, June 28, 2019 12:53:17 PM(UTC)
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courtneydsnow

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No problem, it's on its way!
Guest123
#62 Posted : Wednesday, July 3, 2019 8:57:24 PM(UTC)
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Hi can I get a copy of the powerpoint too?? Thanks :)

ji.w.yang@gmail.com
courtneydsnow
#63 Posted : Friday, July 5, 2019 7:42:29 AM(UTC)
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courtneydsnow

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No problem, it's on its way!
Guest228
#64 Posted : Monday, July 15, 2019 6:10:49 PM(UTC)
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Hi,

Can you please send me the powerpoint as well? Oakssmileinfo@gmail.com.

Also, can you please help me with the AMA-CPT, ICD-9-CM and ICD-10-CM codes for the below dental codes?

D9248 - Non IV Conscious Sedation (not Nitrous)
D4266 - Guided tiss regen-resorb-per
(What I found: AMA-CPT 41870, ICD-9-CM 41870 are these correct?)
D4263 - Bone replace graft - 1st site/qu
(What I found: AMA-CPT 21127, ICD-9-CM 21215 and 21210 are these correct?)
D0220 - Intraoral-periapical - 1st film
(What I found: AMA-CPT 70300)
D7210 - Extraction-surgical/erupt tooth

Thank you so much!
courtneydsnow
#65 Posted : Wednesday, July 17, 2019 8:09:47 AM(UTC)
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Hi Guest!

No problem, it's on it's way!

As for the procedure codes you listed:

D9248
- non-intravenous conscious sedation
For patients 5+ years old, can be cross coded 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
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)


And yes you're correct on the crosscode for:
D4266 - guided tissue regeneration - resorbable barrier, per site
can be cross coded to:
41870 - Periodontal mucosal grafting


D4263 - bone replacement graft - first site in quadrant
can be crosscoded to:
21210 - graft, bone; nasal, maxillary, or malar areas
21215 - graft, mandibular
**use modifier -52 for reduced services when bone is not obtained from patient

As for 21127, it is not a common one used by our clients, but here is the description for you in case it is a service your doctor offers:
Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft)


Correct also on:
D0220 - intraoral - periapical first radiographic image
can be cross coded to:
70300 - Radiologic examination, teeth; single view


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


Now, as far as ICD-10 diagnosis codes to relate to these procedures (you will not need ICD-9 codes anymore, the diagnosis coding system changed from 9 to 10 back in 2015) - those will depend on what the patient's condition is, or basically why these procedures are happening.

For example, here are a few common ones we see for bone grafts and implants related to traumatic accidents:
S02.5XXA - Fracture of tooth (traumatic), initial encounter for closed fracture
S02.5XXB - Fracture of tooth (traumatic), initial encounter for open fracture
K08.411 - Partial loss of teeth due to trauma, class I
K08.412 - Partial loss of teeth due to trauma, class II
K08.413 - Partial loss of teeth due to trauma, class III
K08.414 - Partial loss of teeth due to trauma, class IV
K08.419 - Partial loss of teeth due to trauma, unspecified class

Or, for atrophy:
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

There are tons of codes available for different symptoms, conditions, accidents, etc. If you would like to provide me with more detail about the patient's condition, I would be happy to offer you some coding options.

Hope this helps!
Guest
#66 Posted : Tuesday, September 17, 2019 7:54:07 AM(UTC)
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Courtney would love to have a copy of the PowerPoint discussed above for dental cross coding and billing for implants and oral surgery.
Office@LaConnerDental.com

Thank you!
courtneydsnow
#67 Posted : Wednesday, September 18, 2019 5:31:56 PM(UTC)
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courtneydsnow

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No problem, it's on its way!
Guest
#68 Posted : Tuesday, October 1, 2019 5:02:02 PM(UTC)
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Need help medical coding for a patient She has been diagnosed with total gastrectomy, malabsorption dumping syndrome, vitamin deficiencies A, B, calcium. Various others which require medication that could contribute to tooth and perio/ bone loss.​ Has one current implant on #10 currently.

Need CPT and Diagnose codes to Pre Auth for medical

Looking at for these dental codes:
Consult/ Diagnose service- D9310
Nitrous/sedation- D9230
Extraction #3 D7210
Sinus Lift D7953
Bone graft D6104
Implant D6010
Implant Crown D6058
Implant Custom Abutment D6057

Thanks for your help in advance!!

Kristi
Guest
#69 Posted : Wednesday, October 2, 2019 11:11:19 AM(UTC)
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Is there a Superbill template for oral surgery/perio that has all this on it?

Would be helpful for a dental office to have to give to patients for them to file medical.
courtneydsnow
#70 Posted : Thursday, October 3, 2019 7:20:25 AM(UTC)
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courtneydsnow

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Hi Guest!

Yes, part of our crosscode online subscription does include a superbill of the commonly used ICD and CPT codes for oral surgery & implants. Are you a current client of ours? If so, these codes are also built right into your DentalWriter software :)
Guest
#71 Posted : Thursday, October 3, 2019 7:36:36 AM(UTC)
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I am registered now!! Where do I find the superbill? And, thank you for your help!
courtneydsnow
#72 Posted : Thursday, October 3, 2019 12:58:21 PM(UTC)
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Great!

Here is the crosscode online reference sheets log in:
http://www.dentalcrosscode.com/login.aspx?ReturnUrl=%2fReferenceSheets.aspx

Once you are logged in, you will see an option for "oral surgery/implants" on the reference sheets tab where you can download the reference sheet.

Hope this helps!
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