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Who can convert these dental codes to cpt codes? A dental accident billed to medical claim.
codes: d5211
d7210
d7953
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Hi Guest!
D7953 - bone replacement graft for ridge preservation - per site
Can be cross coded to:
21210 - Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)
21215 - Graft, bone; mandible (includes obtaining graft)
**use modifier -52 for reduced services when bone is not obtained from patient
D7210 - Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated
D5211 - maxillary partial denture – resin base (including, retentive/clasping materials, rests, and teeth)
As for extractions & dentures, they do not have a direct crosscode, 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 will also need proper diagnosis codes to describe the accident and injury to the teeth that led to these services being needed. If you'd like to provide me with some details about the accident and the damage it caused, I'm happy to provide you with some ICD (diagnosis) coding options.
Hope this helps!
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CAN YOU CONVERT SOME DENTAL CODES TO MEDICAL FOR ME
000140
00310 TOOTH #9
002330 TOOTH #9
SAME CODES FOR TOOTH #10
AND WHAT WOULD BE DIAGNOSIS CONVERTED TO MEDICAL
MY DAUGHTER GOT HIT IN THE FACE WITH SOFTBALL SO IT WAS ACCIDENT RELATED AND SHE HAD TO HAVE TO ROOT CANALS.
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Rank: Administration
Joined: 11/21/2012(UTC)
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HI Amy!
2 of the codes you provided seem to have an extra character.....for 000140 - did you mean D0140?
And for 002330 - did you mean D2330 or D0230?
D0140 - limited oral evaluation - problem focused
can be crosscoded to:
99202 - level 2 new patient Evaluation & Management (office visit)
or
99212 - level 2 established patient Evaluation & Management (office visit)
D0310 - sialography
Can be crosscoded to:
70380 - Radiologic examination, salivary gland for calculus
70390 - Sialography, radiological supervision and interpretation
D0230 - intraoral - periapical each additional radiographic image
Can be cross coded to:
70310 - Radiologic examination, teeth; partial examination, less than full mouth
D2330 - resin-based composite - one surface, anterior
The code 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
As for the diagnosis codes - you will want to first describe the injury, and then code for how it happened.
For example, if the teeth were fractured:
S02.5XXA - Fracture of tooth (traumatic), initial encounter for closed fracture
S02.5XXB - Fracture of tooth (traumatic), initial encounter for open fracture
If there was pain:
G89.11 - Acute pain due to trauma
And to describe the accident:
W21.07XA - Struck by softball, initial encounter
Hope this helps!
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Rank: Guest
Joined: 9/8/2012(UTC)
Posts: 2,496
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I have one more question regarding your very helpful response below what cpt medical code should I use for a dental procedure described as
root canal therapy interior tooth #9
composite, 1 surface, anterior tooth #9
root canal therapy interior tooth #10
composite, 1 surface, anterior tooth #10
again thank you so much for your help.
HI Amy!
2 of the codes you provided seem to have an extra character.....for 000140 - did you mean D0140?
And for 002330 - did you mean D2330 or D0230?
D0140 - limited oral evaluation - problem focused
can be crosscoded to:
99202 - level 2 new patient Evaluation & Management (office visit)
or
99212 - level 2 established patient Evaluation & Management (office visit)
D0310 - sialography
Can be crosscoded to:
70380 - Radiologic examination, salivary gland for calculus
70390 - Sialography, radiological supervision and interpretation
D0230 - intraoral - periapical each additional radiographic image
Can be cross coded to:
70310 - Radiologic examination, teeth; partial examination, less than full mouth
D2330 - resin-based composite - one surface, anterior
The code 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
As for the diagnosis codes - you will want to first describe the injury, and then code for how it happened.
For example, if the teeth were fractured:
S02.5XXA - Fracture of tooth (traumatic), initial encounter for closed fracture
S02.5XXB - Fracture of tooth (traumatic), initial encounter for open fracture
If there was pain:
G89.11 - Acute pain due to trauma
And to describe the accident:
W21.07XA - Struck by softball, initial encounter
Hope this helps!
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Rank: Administration
Joined: 11/21/2012(UTC)
Posts: 1,732
Thanks: 39 times
Was thanked: 51 time(s) in 51 post(s)
|
Hi Amy!
There is not a direct crosscode available for root canals, 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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