Hi Guest!


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


D9230 - inhalation of nitrous oxide / anxiolysis, analgesia
can be crosscoded to:
00170 - Anesthesia for intraoral procedures, including biopsy; not otherwise specified


D7220 - Removal of impacted tooth - soft tissue


there is actually not direct crosscodes we are aware of for extractions, 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 code below and include a narrative report describing the procedure:
41899 - Unlisted procedure, dentoalveolar structures

As for the ICD-10 diagnosis code(s) - that will depend on the patient's condition, or basically, why are you doing these services? (if you can give me some additional details surrounding that I am happy to offer you some coding options).

Hope this helps!

Edited by user Thursday, March 28, 2019 11:49:24 AM(UTC)  | Reason: Not specified

Hi guest!

Ok great, here are some coding options for you based on what you described:

K12.2 - Cellulitis and abscess of mouth
K04.6 - Periapical abscess with sinus
K04.7 - Periapical abscess without sinus
K04.1 - Necrosis of pulp
K04.2 - Pulp degeneration
K04.01 - Reversible pulpitis
K04.02 - Irreversible pulpitis

• K05.211 - Aggressive periodontitis, localized, slight
• K05.212 - Aggressive periodontitis, localized, moderate
• K05.213 - Aggressive periodontitis, localized, severe
• K05.219 - Aggressive periodontitis, localized, unspecified severity
• K05.221 - Aggressive periodontitis, generalized, slight
• K05.222 - Aggressive periodontitis, generalized, moderate
• K05.223 - Aggressive periodontitis, generalized, severe
• K05.229 - Aggressive periodontitis, generalized, unspecified severity
• K05.311 - Chronic periodontitis, localized, slight
• K05.312 - Chronic periodontitis, localized, moderate
• K05.313 - Chronic periodontitis, localized, severe
• K05.319 - Chronic periodontitis, localized, unspecified severity
• K05.321 - Chronic periodontitis, generalized, slight
• K05.322 - Chronic periodontitis, generalized, moderate
• K05.323 - Chronic periodontitis, generalized, severe
• K05.329 - Chronic periodontitis, generalized, unspecified severity
• K05.10 - Chronic gingivitis, plaque induced
• K05.11 - Chronic gingivitis, non-plaque induced
• K02.3 - Arrested dental caries
• K02.51 - Dental caries on pit and fissure surface limited to enamel
• K02.52 - Dental caries on pit and fissure surface penetrating into dentin
• K02.53 - Dental caries on pit and fissure surface penetrating into pulp
• K02.61 - Dental caries on smooth surface limited to enamel
• K02.62 - Dental caries on smooth surface penetrating into dentin
• K02.63 - Dental caries on smooth surface penetrating into pulp
• K02.7 - Dental root caries
• K02.9 - Dental caries, unspecified


Hope this helps!

Hi Guest!

There is no standard modifier i am aware of for this combination of services. Modifiers are 2-character codes that you basically add on to procedure and equipment codes in medical billing, on the medical claim CMS1500 in field 24 D. Modifiers provide additional information regarding the service or equipment to the medical insurer. For example, a standard modifier to use when billing medical insurance for a custom made oral appliance for Obstructive Sleep Apnea (OSA)(HCPCS code E0486) is the modifier "NU", which stands for "new equipment".

You may consider using the JP qualifier to indicate the tooth number(s) being extracted.

The JO & JP qualifiers represent tooth numbers and areas of the oral cavity for medical claims.

The following are the codes for tooth numbers, reported with the JP qualifier:
• 1 –32: Permanent dentition
• 51 –82: Permanent supernumerary dentition
• A –T: Primary dentition
• AS –TS: Primary supernumerary dentition

The following are the codes for areas of the oral cavity, reported with the JO qualifier:
• 00 : Entire oral cavity
• 01 : Maxillary arch
• 02 : Mandibular arch
• 10 : Upper right quadrant
• 20 : Upper left quadrant
• 30 : Lower left quadrant
• 40: Lower right quadrant


Examples of how this would look on the medical claim can be found in the NUCC's CMS 1500 claim form manual here, starting on page 46 & 47:
http://www.nucc.org/images/stories/PDF/1500_claim_form_instruction_manual_2012_02-v5.pdf


Hope this helps!