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Ms. Courtney, Trying to crossover 2 dental procedure codes D7410 and D7411 to to get medical insurance to consider paying for some of the procedure costs. There also is a lab charge coded as X2222 for a cancer screening of the removed tissue. Any thoughts on how to resubmit to medical for consideration?
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Hi Guest!
There is not a standard modifier i'm aware of to use with 40810 (Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair)
You of course can use a modifier to indicate a special circumstance to the procedure, such as:
Modifier 22 (increased procedural services)
Modifier 51 (multiple surgeries/procedures)
Modifier 52 (reduced services)
Hope this helps!
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do you know of any modifier that will need to be use when code 40810 is use that way code get paid by medical insurance
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Hi Guest!
D7410 - excision of benign lesion up to 1.25 cm
can be crosscoded to:
11440 excision benign lesion 0.0 to 0.5 cm
11441 excision benign lesion 0.6 to 1.0 cm
21030 removal of facial bone lesion benign
21040 removal of lesion mandible benign simple
40810 excision of lesion, vestibule
40812 excise/repair mouth lesion
40814 excise/repair vestibule lesion
40816 excision of mouth lesion complex w/muscle
41116 excision of lesion, floor of mouth
Hope this helps!
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We did a D7410 removal of a benign lesion Patient would like us to submit to her medical.
what would the medical cpt code be?
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