Hi Guest!

D9940
D9940 has been deleted from the coding system, replaced with the following 3 codes:
D9944 occlusal guard – hard appliance, full arch
D9945 occlusal guard – soft appliance, full arch
D9946 occlusal guard – hard appliance, partial arch

If this code is being use to bill medical insurance for appliances being used to treat temporomandibular joint disorders, most practices we work with will code that as D7880, which stands for: occlusal orthotic device, by report
Since this code has "by report" in the description, they can explain in the narrative report what the appliance is/does.
Now, you will every so often run into a medical insurer that will not process any code starting with a "D" - most do these days, but not all. In those cases, you end up using the closed CPT code that is "by report" or "miscellaneous". The top options seem to be:

21299 - Unlisted craniofacial and maxillofacial procedure
E1399 - Durable medical equipment, miscellaneous



D2740 - crown - porcelain/ceramic substrate
D2750 - crown - porcelain fused to high noble metal

There are not a direct crosscodes we are aware of for these procedures, so you can either use the "D" code on the pre-authorization request/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!

Hi Guest!

D7140 - Extraction, erupted tooth or exposed root (elevation and/or forceps removal)

Extractions do 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!

Hi Guest!

D9944 - occlusal guard – hard appliance, full arch

The diagnosis code(s) used will depend on the condition/symptoms, or in other words, why is the patient receiving the services?

For example, if the patient is receiving an occlusal guard due to bruxism, you may consider:
G47.63 - Sleep related bruxism
F45.8 - Other somatoform disorders

If you'd like to provide some information about the patient's condition/symptoms, I'm happy to offer you some coding options.

Hope this helps!

Hi Guest!

No problem. Just a heads up, most medical insurers do specify that they will cover accidental injury to "sound, natural teeth", so you may run into issues with coverage of the broken bridge - but the knocked out teeth may certainly be covered.

D2740 - crown - porcelain/ceramic
D2950 - core buildup, including any pins when required
D6740 - retainer crown - porcelain/ceramic
D6245 - pontic - porcelain/ceramic
D2954 - prefabricated post and core in addition to crown
D2331 - resin-based composite - two surfaces, anterior


The codes listed above 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 code below and include a narrative report describing the procedure:
41899 - Unlisted procedure, dentoalveolar structures


You'll also need ICD-10 (diagnosis) codes to describe the injury & accident. Here are some common ones for motorcycle 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

G89.11 - Acute pain due to trauma

As for the diagnosis code to describe the accident, if you would like to reply with a few more details about the accident I am happy to offer you some coding options. I'll need the following details:
- was your husband the driver or a passenger?
- was there is a collision with another vehicle? If so, what kind? (car, truck, SUV, etc)
- or, was there a collision with something else? (i.e. stationary object, animal, etc)


Hope this helps!