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Guest
#1 Posted : Wednesday, May 23, 2018 2:25:17 PM(UTC)
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Guest

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Hi

I need ICD 10 procedure codes for:
D9243 intravenous conscious sedation (60 minutes)
A8 L-PRF w/implant/extraction
D6010 surg plae implant
D7210 extraction-surgical/erupt tooth
D6057 Custom abutment
D6058 implant crown zirconia

I also need ICD 10 diagnostic codes: tooth was extracted due to chronic infection (possible crack, failed root canal, chronic infection causing autoimmune disease.

thank you!


jenaliaanderson
#2 Posted : Thursday, May 24, 2018 8:33:08 AM(UTC)
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jenaliaanderson

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I hope you will get your proper treatment.
courtneydsnow
#3 Posted : Thursday, May 24, 2018 10:45:12 AM(UTC)
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courtneydsnow

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Hi Guest!

D9243
- Intravenous moderate (conscious) sedation/analgesia – each 15 minute increment

Below are the coding options for moderation sedation:

99151
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 younger than 5 years of age

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)

99155
Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient younger than 5 years of age

99156
Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient age 5 years or older

99157
Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; each additional 15 minutes intraservice time (list separately in addition to code for primary service)


D6010 - surgical placement of implant body: endosteal implant
can be cross coded to:
21248 - Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial(3or less)
21249 - Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete (4 or more)


D7210 - surgical removal of erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated
D6057 - custom fabricated abutment - includes placement
D6058 - abutment supported porcelain/ceramic crown

The codes listed above do 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


Now, as far as the diagnostic codes. These should be assigned by your doctor, but based on what you described, here are some possible coding options:

- K03.81 - Cracked tooth
- K08.59 - Other unsatisfactory restoration of tooth
- M27.51 - Perforation of root canal space due to endodontic treatment
- K12.2 - Cellulitis and abscess of mouth
- K04.01 - Reversible pulpitis
- K04.02 - Irreversible pulpitis
- K04.1 - Necrosis of pulp
- K04.2 - Pulp degeneration
- K04.3 - Abnormal hard tissue formation in pulp
- K04.4 - Acute apical periodontitis of pulpal origin
- K04.5 - Chronic apical periodontitis
- K04.6 - Periapical abscess with sinus
- K04.7 - Periapical abscess without sinus
- K04.8 - Radicular cyst
- K04.9 - Other and unspecified diseases of pulp and periapical tissues
- K04.90 - Unspecified diseases of pulp and periapical tissues
- K04.99 - Other diseases of pulp and periapical tissues
- K05.311 - Chronic periodontitis, localized, slight
- K05.312 - Chronic periodontitis, localized, moderate
- K05.313 - Chronic periodontitis, localized, severe
- K05.319 - Chronic periodontitis, localized, unspecified severity
- K05.321 - Chronic periodontitis, generalized, slight
- K05.322 - Chronic periodontitis, generalized, moderate
- K05.323 - Chronic periodontitis, generalized, severe
- K05.329 - Chronic periodontitis, generalized, unspecified severity
- K05.10 - Chronic gingivitis, plaque induced
- K05.11 - Chronic gingivitis, non-plaque induced
- B37.9 - Candidiasis, unspecified

Hope this helps!
Guest
#4 Posted : Thursday, May 24, 2018 6:21:07 PM(UTC)
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Guest

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Please help!... I have never billed or filled out a 1500 medical form. I only do dental billing... I need to sub a medical claim to get a denial from medical and mail it to dental insurance.

I need a CPT code a Modifier and a Diagnostic pointer to bill for removal of all 4 Impacted molars CDT code D7240

does anyone have those three?
courtneydsnow
#5 Posted : Friday, May 25, 2018 7:32:54 AM(UTC)
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courtneydsnow

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Hi Guest!

D7240
- removal of impacted tooth - completely bony

The code listed above does not have a direct crosscode we are aware of, so you can either bill the "D" code on the CMS1500 medical claim (many insurers these days will process "D" codes when they are medically necessary services), or you may consider the CPT code below and include a narrative report describing the procedure:
41899 - Unlisted procedure, dentoalveolar structures

As for the modifier - there is not necessarily a "standard" modifier to use for extractions like there are some with services dental practices bill to medical insurance (i.e. sleep apnea appliances), but if there was something special or unique about the situation, you may end up using a modifier such as:
-52 - reduced services
-22 - unusual Procedural Services
-52 - multiple procedures

Now, as for the diagnostic pointer (field 24E) - that will simply be listed as a letter(s) - usually A, B, C, or D - but it depends on how many diagnosis codes you have listed in field 21, and which diagnoses are applicable to which services in field 24. For example, for impacted teeth, you may have the ICD-10 diagnosis code K01.1 (impacted teeth) listed in the blank labeled "A" in field 21. If that was the only diagnosis code on your claim, you would enter "A" into field 24E where it asks for the diagnosis pointer on the line item for the code you use for the extractions (either D7240 or 41899).

If medical billing is something you are going to be doing more of, it sounds like you're a perfect candidate for one of our successful medical billing in dentistry seminars! Here is a link to our full seminar schedule: https://niermanpm.com/dental-continuing-education/schedule

Hope this helps!
j w
#6 Posted : Friday, April 24, 2020 4:38:15 PM(UTC)
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Does anyone have ICD10 codes for Pano, BW, and PA's?
courtneydsnow
#7 Posted : Monday, April 27, 2020 11:46:56 AM(UTC)
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courtneydsnow

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Hi j w!

The diagnosis code(s) to use when billing medical insurance for x-rays such as pano's & PA's will depend on why the x-rays are being taken. For example, if they are for evaluation for fabrication of a sleep appliance, you will likely use ICD10 G47.33 which stands for obstructive sleep apnea.
If it is a patient with a temporomandibular join disorder, those diagnostic codes range between M26.601-M26.69. If trauma, there are codes for trauma to teeth such as S02.5XXA - Fracture of tooth (traumatic), initial encounter for closed fracture.

If you have some additional information about the reason for the x-rays treatment, i would be happy to offer you some coding options.
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