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Guest
#1 Posted : Tuesday, May 21, 2019 1:01:42 PM(UTC)
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Guest

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Hello,

I am trying to find out medicaid reimbursement for 41899 by state. Is there an easy way to do this? It is typically used for facility fees for dental procedures.

Thanks!
courtneydsnow
#2 Posted : Friday, May 24, 2019 9:50:28 AM(UTC)
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courtneydsnow

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Hi Guest!

Great question. 41899 actually does not typically have a set allowed amount, as the description of the code is: 41899 - Unlisted procedure, dentoalveolar structures

Since it is "unlisted", this code gets used to represent a myriad of different procedures - i.e. extractions, crowns, etc.......anything that doesn't have a specific CPT assigned related to the dentoalveolar structures!

Hope this helps, have a great day!
Guest
#3 Posted : Sunday, October 17, 2021 8:14:46 AM(UTC)
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Guest

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Does anyone have dental procedure codes converted to medical billing codes?
D0140
D0210
D0330
D0220
D2335
D1120
D1206

D0120
courtneydsnow
#4 Posted : Monday, October 18, 2021 10:30:06 AM(UTC)
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courtneydsnow

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Hi Guest!

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)


D0210 - intraoral - complete series of radiographic images
can be crosscoded to:
70320 - Radiologic examination, teeth; complete, full mouth


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


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


D0120 - periodic oral evaluation - established patient
can be crosscoded to:
99212 - level 2 established patient Evaluation & Management (office visit)


D1206 - topical application of fluoride varnish
D1120 - prophylaxis - child
D2335 - resin-based composite - four or more surfaces or involving incisal angle (anterior)

There are not direct crosscodes we are aware of for these services, 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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