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Guest
#1 Posted : Thursday, January 30, 2020 2:24:00 PM(UTC)
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Guest

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I am doing a WC case and we did an interim rpd on the patient with code D5820 and a periapical with code D0220. I have searched everywhere and found that Z97.2 is the dx code for D5820 and 70300 is for D0220. My question is, are those the diagnostic codes that I use on the claim form? Please advise
courtneydsnow
#2 Posted : Thursday, January 30, 2020 5:48:44 PM(UTC)
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courtneydsnow

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Hi Guest!

ICD (diagnosis/dx) code Z97.2 stands for: Presence of dental prosthetic device (complete) (partial)


D5820 - interim partial denture (maxillary)

This code does not have direct crosscodes 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 use the CPT code below and include a narrative report describing the procedure:
41899 - Unlisted procedure, dentoalveolar structures

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


So, Z97.2 is the only diagnosis code of the three - D5820 (CPT 41899) and D0220 (CPT 70300) are the procedure codes.

There may be additional diagnosis codes you can add to the claim, depending on the patient's condition/symptoms.
For example, is the x-ray and the interim partial denture are being done due to missing teeth from a traumatic accident, you may consider:

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
K08.419 - Partial loss of teeth due to trauma, unspecified class

If it is for a different reason/condition, let me know and I am happy to help you with some additional diagnosis coding options.

Hope this helps!
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