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Fell and had extensive damage to 6 top teeth. Cigna will not pay as they say there is no medical codes. I have given insurance copy of medical record from Demtist explaining the trauma and the needed procedures that had to be done to save teeth and apply crowns
DEntal codes that I have on bills from endodontist is 003310......Is there a medical code for root canal due to teeth trauma
bills from dentist for crowns have dental codes D2950, D2740, D9951.......are there medical codes for these Basically crowns needed due to accident and trauma to teeth
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Hi Guest!
D3310 - Endodontic therapy anterior tooth (excluding final restoration)
D2950 - core buildup, including any pins when required
D2740 - crown - porcelain/ceramic
D9951 - occlusal adjustment - limited
The codes listed above do not have direct crosscodes we are aware of - 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 medical diagnosis codes (ICD-10 codes) that describe the trauma and how it happened. If you'd like to provide me with a few more details about the fall, I'd be happy to provide you some coding options. For example, if you fell from tripping on the same level, the code to describe that is:
W01.0XXA - Fall on same level from slipping, tripping and stumbling without subsequent striking against object, initial encounter
Here are some commonly used diagnosis codes for trauma to teeth, depending on what type of damage occurred:
S02.5XXA - Fracture of tooth (traumatic), initial encounter for closed fracture
S02.5XXB - Fracture of tooth (traumatic), initial encounter for open fracture
K08.411 - Partial loss of teeth due to trauma, class I
K08.412 - Partial loss of teeth due to trauma, class II
K08.413 - Partial loss of teeth due to trauma, class III
K08.414 - Partial loss of teeth due to trauma, class IV
S03.2XXA - Dislocation of tooth, initial encounter
G89.11 - Acute pain due to trauma
Hope this helps!
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