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Can you please translate these Dental codes to Medical codes:
D0367 Cone Beam CT Capt & Interp, both
D7210 Surgical removal of erupted tooth
D7953 bone graft for ridge pres.
D4266 guided tissue regeneration, re.
D9430 Office visit for observation (follow up)
(Not finding these in prior inquiries.)
Thanks!
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Rank: Guest
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Did you ever get an answer to the above request? I also would like to know the conversions for those specific codes?
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Rank: Administration
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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
D9430 - Office visit for observation (during regularly scheduled hours) - no other services performed
can be crosscoded to:
99202 - level 2 new patient Evaluation & Management (office visit)
or
99212 - level 2 established patient Evaluation & Management (office visit)
D0367 - Cone beam CT capture with interpretation with field of view of both jaws, with or without cranium
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, and some insurers require this code to be used for CBCT (i.e. UHC). 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 an option to use (keep in mind you'll need to provide a narrative description for unlisted codes).
D7210 - Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated
D4266 - guided tissue regeneration - resorbable barrier, per site
Extractions do not have 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
Hope this helps!
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