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Guest
#1 Posted : Monday, June 22, 2020 11:55:08 AM(UTC)
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Guest

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I need help converting some dental codes to medical.
D9110
D0220
D2740
D2954
D4249
D9230
courtneydsnow
#2 Posted : Monday, June 22, 2020 12:04:24 PM(UTC)
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courtneydsnow

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Hi Guest!

D9110 - palliative (emergency) treatment of dental pain - minor procedure

First, you will select an evaluation and management (E&M)/office visit code - such as 99201 or 99202 for a new patient, or 99211 or 99212 for an established patient)

Then, to indicate it was an emergency service, you can choose one of the following:

99050 — Services provided in the office at time other than regularly scheduled office hours, or days when the office is closed (e.g., holidays Saturday or Sunday), in addition to basic service

Or, if it was during regular office hours but disrupted the schedule:

99058 - Service(s) provided on an emergency basis in the office, which disrupts other scheduled office services, in addition to basic service



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


D2740 - crown - porcelain/ceramic substrate
D2954 - prefabricated post and core in addition to crown
D4249 - clinical crown lengthening – hard tissue
D9230 - Nitrous

There are not direct crosscodes we are aware of for the procedures listed above, so you can either use 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



Of course, don't forget your ICD-10 diagnosis codes. For example, for the fracture:
S02.5XXA - Fracture of tooth (traumatic), initial encounter for closed fracture
S02.5XXB - Fracture of tooth (traumatic), initial encounter for open fracture

And depending on how the patient fell:
W01.0XXA - Fall on same level from slipping, tripping and stumbling without subsequent striking against object, initial encounter
W01.198A - Fall on same level from slipping, tripping and stumbling with subsequent striking against other object, initial encounter



Hope this helps!
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