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Guest
#1 Posted : Monday, April 13, 2020 4:42:43 PM(UTC)
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Guest

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Hi could i get the following dental codes converted to medical codes please
d9248
d7210
d7921
d7285
d4355
d0367
d0367
thanks
courtneydsnow
#2 Posted : Wednesday, April 15, 2020 4:47:48 PM(UTC)
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courtneydsnow

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Hi Guest!

D9248
- non-intravenous conscious sedation
For patients 5+ years old, can be cross coded to:
99152
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient’s level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older
99153
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient’s level of consciousness and physiological status; each additional 15 minutes intraservice time (list separately in addition to code for primary service)


D7210 - Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated
D7921 – collection and application of autologous blood concentrate product
D4355 - full mouth debridement to enable comprehensive evaluation and diagnosis

There are not direct crosscodes we are aware of for the procedures listed above, so you can either use 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


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, 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) We also see practices billing out for "76102 - Radiologic examination, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than with urography; bilateral"

D7285 - incisional biopsy of oral tissue-hard (bone, tooth)
can be crosscoded to:
20240 - Biopsy, bone, excisional; superficial


Hope this helps!
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