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Guest
#1 Posted : Tuesday, July 19, 2022 3:22:36 PM(UTC)
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Guest

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We do multiple all on 4 surgeries a month and I am looking for a way to bill them to medical. Some CPT codes are easy to find, while others are proving challenging. There is a long list of codes with multiple teeth/quadrants involved with almost every procedure. Can you help? The codes are:

D6114
D6115
D9243
D7140
D7210
D6056
D6010
D7310
D7320
D6100
D6118
D6119
D5810
D5811
D7951

Any help you can give me is greatly appreciated. Thank you!

courtneydsnow
#2 Posted : Thursday, July 21, 2022 1:26:15 PM(UTC)
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courtneydsnow

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Hi Guest!

D9243 - Intravenous moderate (conscious) sedation/analgesia – each 15 minute increment

can be crosscoded to:

99152
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient’s level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older

and

99153
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient’s level of consciousness and physiological status; each additional 15 minutes intraservice time (list separately in addition to code for primary service)


D6010 - surgical placement of implant body: endosteal implant
can be cross coded to:
21248 - Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial (3 or less)
21249 - Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete (4 or more)


D7310 – alveoloplasty in conjunction with extractions – four or more teeth or tooth spaces, per quadrant
and
D7320 - alveoloplasty not in conjunction with extractions - four or more teeth or tooth spaces, per quadrant can be cross coded to:
41874 - Alveoloplasty, each quadrant (specify)


D6100 - implant removal, by report
Can be crosscoded to:
20670 - Removal of implant due to complications (superficial)
20680 - Removal of implant due to complications (deep)



D7951 - sinus augmentation with bone or bone substitutes via a lateral open approach
can be crosscoded to:
21210 - graft, bone; nasal, maxillary, or malar areas
*use -52 modifier for reduced services when bone is not obtained from the patient



D6114 - Implant/abutment supported fixed denture for edentulous arch - maxillary
D6115 - Implant/abutment supported fixed denture for edentulous arch - mandibular
D7140 - Extraction, erupted tooth or exposed root (elevation and/or forceps removal)
D7210 - Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated
D6056 - prefabricated abutment - includes modification and placement
D6118 - implant/abutment supported interim fixed denture for edentulous arch – mandibular
D6119 - implant/abutment supported interim fixed denture for edentulous arch – maxillary
D5810 – interim complete denture (maxillary)
D5811 - interim complete denture (mandibular)


As for the codes listed above, 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!
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