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SB (San Diego)
#1 Posted : Thursday, January 7, 2021 9:35:58 PM(UTC)

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Could you please provide the CPT codes for the following Dental codes for me to file a claim with Aetna?

Thanks in advance!

#2 Posted : Friday, January 8, 2021 9:37:30 AM(UTC)

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Hi SB (San Diego)!

D9310 - consultation - diagnostic service provided by dentist or physician other than requesting dentist or physician
can be crosscoded to:
99241 (level 1 consultation visit) or 99242 (level 2 consultation visit). Heads up, some medical insurers no longer recognize codes 99241-99245, so if that is the case with your insurer, you will instead use 99202 (level 2 new patient visit) for a new patient, or 99211 or 99212 for an established patient)

D9610 - therapeutic parenteral drug, single administration
can be cross coded to:
96374 - Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug

D9222 – deep sedation/general anesthesia – first 15 minutes
D9223 – deep sedation/general anesthesia – each additional 15 minutes
can be crosscoded to:
00170 - Anesthesia for intraoral procedures, including biopsy; not otherwise specified

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(3 or less)
21249 - Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete (4 or more)

D0330 - panoramic radiographic image
Can be cross coded to:
70355 - Orthopantogram (eg, panoramic x-ray)

D7240 - Removal of impacted tooth - completely bony
D7210 - Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated

As for the CPT code for extractions, there is actually not 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

Hope this helps!
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