Hello,
Can you please tell me what the equivalent medical code for this dental code, D 4277, would be?
Thank you,
Jo

Trying to get a splint for TMI but medical insurance won't do without icd10 codes. Dental gave me d0367 and d7899 can u convert to icd10 codes so I can get this covered by insurance.

Thank you Jo, I have both D4277 and D4278 codes on my dental bill for a gum graphing procedure I had done which was medically necessary and they are saying the surgery was due to medical condition because I have spinal disease which has created TMJ Dysfunction which has now lead to severe recession in my gums from my grinding and clenching. so my Blue Cross PPO needs the medical code for my situation in order to review and decide if they will pay for the surgery. I am trying to figure out how to go about this. I down loaded the form but I have to figure out the most appropriate medical code. My dentist/surgeon does not do anything with medical codes so they are of no help and my dental plan will not cover it even though the surgeon wrote a letter stating it was medically necessary.
Also I frequently see a chiropractor for my corrective spinal adjustments on my entire spine because of my disease and I have been wearing a night gaurd in my mouth for many years to help prevent this problem to begin with because of my clenching and grinding.

I was wondering if anyone could help me to convert dental procedure codes into cpt icd 10 codes.
D0330, D0363, D7820, D7880. Thank you in advance.

Hi Guest!

D0330 - panoramic radiographic image
Can be cross coded to:
70355 - Orthopantogram (eg, panoramic x-ray)



D0363 - Cone-Beam 3D multi image reconstruction

There is actually not currently a specific CPT code for CBCT……the closest CPT code is: 70486 - Computed tomography, maxillofacial area; without contrast material. Many offices have been using this for some time for CBCT, however, some medical insurers are auditing that code when used for CBCT because the description does not specify “cone beam”.

So, “76497 - Unlisted computed tomography procedure (eg, diagnostic, interventional)” is a good CPT code to use, or, many medical insurers will process the “D” codes for procedures when there is not a specific CPT code available.

For example, here are the “D” codes from HealthPartner’s medical policy for “Cone-beam computed tomography (CT) scan for medically-related dental services”

D0363 - Cone-Beam 3D multi image reconstruction
D0364 - Cone beam CT capture and interpretation with limited field of view - less than one whole jaw
D0365 - Cone beam CT capture and interpretation with field of view of one full dental arc - mandible
D0366 - Cone beam CT capture and interpretation with field of view of one full dental arch
- maxilla, with or without cranium
D0367 - Cone beam CT capture with interpretation with field of view of both jaws, with or without cranium
D0368 - Cone beam CT capture and interpretation for TMJ series including two or more exposures
D0380 - Cone beam CT image capture with limited field of view - less than one whole jaw
D0381 - Cone beam CT image capture with field of view of one full dental arch - mandible
D0382 - Cone beam CT image capture with field of view of one full dental arch - maxilla, with or without cranium
D0383 - Cone beam CT image capture with field of view of both jaws, with or without cranium
D0384 - Cone beam CT image capture for TMJ series including two or more exposures

Here is a link to the full policy:
https://www.healthpartners.com/public/coverage-criteria/cone-beam-scan.htm



D7820 - closed reduction of dislocation
can be crosscoded to:
21480 - Closed treatment of temporomandibular dislocation; initial or subsequent
21485 - Closed treatment of temporomandibular dislocation; complicated (e.g., recurrent
requiring intermaxillary fixation or splinting), initial or subsequent


D7880 - occlusal orthotic device, by report

There is not a specific crosscode for D7880. If you are using this code to represent an appliance being used to treat TMD:

What we are finding is that the code that is most commonly accepted by medical insurers currently for TMD appliances since the S8262 discontinuation June 2015 is D7880. However, some insurers are accepting the other codes listed below as well:

D7899 - unspecified TMD therapy, by report

Or, if the medical insurer says they won’t process the “D” codes (most will these days, but you will run into a few that won’t), you can try:

E1399 - Durable medical equipment, miscellaneous
21299 - Unlisted craniofacial and maxillofacial procedure
21499 - Unlisted musculoskeletal procedure, head

A narrative report explaining the treatment accompanying the claim is recommended since they are all "by report", “unlisted”, or "miscellaneous" codes.

For example, Aetna's medical policy for Temporomandibular disorders lists D7880 as an accepted HCPCS code is criteria is met: http://www.aetna.com/cpb/medical/data/1_99/0028.html



Hope this helps!

Thank you

Hi Guest!

D5820 - interim partial denture (maxillary)

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 try the CPT code below and include a narrative report describing the procedure:
41899 - Unlisted procedure, dentoalveolar structures

Hope this helps!

Hi Guest!

No problem we're happy to help.

First off - most medical insurers will have a modified claim form for patient use. You can call your medical insurer and request a patient claim form - many times the insurer will have it available on their website to print off. (basically, the CMS1500 - which is the standard medical form that health professionals use when billing medical insurance - is on version 02/12. If you used a CMS1500 to bill your medical insurer, you may have used version 08/05. If you look in the lower right hand corner of the claim form, the version number will be shown there. The 08/05 version is no longer accepted). But, you should not need to use the CMS1500 as a patient to file to your medical insurer, they should provide one to you that is far less complex.

As for the "valid ICD-10 diagnosis code and indicator" - that generally means that field 21 on the CMS1500 claim form was not completed properly (and/or possibly that the old version of the CMS1500 was used). The "ICD indicator", which is located in the upper right hand corner of field 21, should have the number "0", which stands for ICD-10. As for the diagnosis code(s) themselves - i'll need a few more details to assist you in locating the most appropriate code(s). A few questions for you:

1) what type of accident was is? (trip & fall? vehicle accident? fight? etc). As many details about the accident/trauma you can provide will be helpful.
2) what was the injury? (broken tooth? tooth knocked out? etc)
3) what services did the dental office provide? (extraction of tooth? crown? etc?). If the dental practice provided you the "D" codes, those would be helpful.

Hello is there a medical code for D2750

Hi courtneydsnow is there anyway you can help me? My sons claim keeps getting denied and we live in a small town our dental office doesn’t know how to convert dental codes to medical codes. Can you please help us as we are having to pay everything out of pocket right now and it’s killing us financially.

My son slipped and fell at school during athletics. He knocked out a permanent front too tooth. The dental codes we are trying to convert at this time are D0140, D0220 and D7270.
Any help is appreciated!