DentalWriter Forum

Your central resource for DentalWriter posts, blogs, training resources, faq's, and more.

Notification

Icon
Error

New Topic Post Reply
Guest
#1 Posted : Friday, March 18, 2016 11:06:26 AM(UTC)
Quote
Guest

Rank: Guest

Joined: 9/8/2012(UTC)
Posts: 1,327

Was thanked: 16 time(s) in 15 post(s)
I would like to convert D7240, d9242, D9241, D9310 and D9610 in to medical blue cross is giving me hard time with this.
courtneydsnow
#2 Posted : Friday, March 18, 2016 11:58:22 AM(UTC)
Quote
courtneydsnow

Rank: Administration

Joined: 11/21/2012(UTC)
Posts: 1,661

Thanks: 39 times
Was thanked: 51 time(s) in 51 post(s)
Hi guest!

D7240 - removal of impacted tooth - completely bony
D9610 - therapeutic parenteral drug, single administration

The two codes above do not have have a direct crosscode 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 try the CPT code below and include a narrative report describing the procedure:
41899 - Unlisted procedure, dentoalveolar structures




D9242 - intravenous moderate (conscious) sedation/analgesia - each additional 15 minutes
and
D9241 - intravenous moderate (conscious) sedation/analgesia - first 30 minutes
Can be crosscoded to the following:
99143 - Moderate sedation services (other than those services described by codes 00100-01999) 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; younger than 5 years of age, first 30 minutes intra-service time
99144 - Moderate sedation services (other than those services described by codes 00100-01999) 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; age 5 years or older, first 30 minutes intra-service time
99145 - Moderate sedation services (other than those services described by codes 00100-01999) 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 intra-service time (List separately in addition to code for primary service)
99148 - Moderate sedation services (other than those services described by codes 00100-01999), provided by a physician or other qualified health care professional other than the health care professional performing the diagnostic or therapeutic service that the sedation supports; younger than 5 years of age, first 30 minutes intra-service time
99149 - Moderate sedation services (other than those services described by codes 00100-01999), provided by a physician or other qualified health care professional other than the health care professional performing the diagnostic or therapeutic service that the sedation supports; age 5 years or older, first 30 minutes intra-service time

99150
- Moderate sedation services (other than those services described by codes 00100-01999), provided by a physician or other qualified health care professional other than the health care professional performing the diagnostic or therapeutic service that the sedation supports; each additional 15 minutes intra-service time (List separately in addition to code for primary service)

D9310 - consultation - diagnostic service provided by dentist or physician other than requesting dentist or physician
Can be crosscoded to:
  • 99241
- Office consultation for a new or established patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 15 minutes are spent face-to-face with the patient and/or family.
  • 99242
- Office consultation for a new or established patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low severity. Typically, 30 minutes are spent face-to-face with the patient and/or family.

Hope this helps, have a great day!
Cris @ AFFamilyDental
#3 Posted : Monday, July 19, 2021 12:24:19 PM(UTC)
Quote
Guest

Rank: Guest

Joined: 9/8/2012(UTC)
Posts: 1,327

Was thanked: 16 time(s) in 15 post(s)
I am also needing diagnostic codes for the 99444 & the 41899. Can you help me with that?
courtneydsnow
#4 Posted : Tuesday, July 20, 2021 3:18:05 PM(UTC)
Quote
courtneydsnow

Rank: Administration

Joined: 11/21/2012(UTC)
Posts: 1,661

Thanks: 39 times
Was thanked: 51 time(s) in 51 post(s)
Hi Cris @ AFFamilyDental!

For the ICD (diagnosis) code(s) - this will depend on your condition - in other words, why where the services performed?
For example, a common diagnostic code used for extraction is:
K01.1 - Impacted teeth

However, if the extractions were done for another reason (i.e. an accidental injury, tumor removal, etc) - if you'd like to provide some additional details on the condition that led to the extraction I am happy to offer some coding options.

Hope this helps!
Quick Reply Show Quick Reply
New Topic Post Reply
Forum Jump  
You can post new topics in this forum.
You can reply to topics in this forum.
You can delete your posts in this forum.
You can edit your posts in this forum.
You cannot create polls in this forum.
You can vote in polls in this forum.