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Guest
#1 Posted : Tuesday, April 2, 2019 11:56:06 AM(UTC)
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Guest

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Hi, We need help with a trauma from a baseball to the teeth. We used D4321 to splint the teeth and used D9230 for nitrous. And also a D0140 for the limited. Now the parent wants the medical codes. Can u help???
courtneydsnow
#2 Posted : Tuesday, April 2, 2019 12:01:43 PM(UTC)
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courtneydsnow

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Hi Guest!

No problem. Based on what you described, here are some coding options for you:

ICD-10 diagnosis:

K03.81 - Cracked tooth
S02.5XXA - Fracture of tooth (traumatic), initial encounter for closed fracture
S02.5XXB - Fracture of tooth (traumatic), initial encounter for open fracture
S03.2XXA - Dislocation of tooth, initial encounter
M26.34 - Vertical displacement of fully erupted tooth or teeth
M26.33 - Horizontal displacement of fully erupted tooth or teeth
K08.531 - Fractured dental restorative material with loss of material
K08.530 - Fractured dental restorative material without loss of material

W21.03XA - Struck by baseball, initial encounter
W21.03XD - Struck by baseball, subsequent encounter



As for the procedure codes:

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


D0140
- limited oral evaluation - problem focused
Can be crosscoded to:
99201 - Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.
or
99211 - Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. Usually, the presenting problem(s) are minimal. Typically, 5 minutes are spent performing or supervising these services.



D4321 - provisional splinting - extracoronal

The code listed above does not have a direct crosscode 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 code below and include a narrative report describing the procedure:
41899 - Unlisted procedure, dentoalveolar structures

Hope this helps!
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