Nierman Practice Management Logo
Follow us on Facebook
Follow us on Twitter
Connect with us on Linked In
View demos and More on You Tube
DentalWriter Software Logo 1-800-879-6468
Login   Register Here

Notification

Icon
Error

2 Pages12>
New Topic Post Reply
Guest
#1 Posted : Wednesday, February 8, 2017 6:22:50 PM(UTC)
Quote
Guest

Rank: Guest

Joined: 9/8/2012(UTC)
Posts: 1,150

Was thanked: 16 time(s) in 15 post(s)
Hi! Trying to file an insurance claim and need medical codes for the following dental codes if anyone can help:

D2799
D6051
D6010
D2429
D6190

Thank you so much in advance for any information that you can share!!



-Signed a tired dental patient
courtneydsnow
#2 Posted : Thursday, February 9, 2017 8:03:29 AM(UTC)
Quote
courtneydsnow

Rank: Administration

Joined: 11/21/2012(UTC)
Posts: 1,503

Thanks: 39 times
Was thanked: 47 time(s) in 47 post(s)
Hi Guest!


D6010 - surgical placement of implant body: endosteal implant
can be crosscoded 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)


D2799
- provisional crown– further treatment or completion of diagnosis necessary prior to final impression
D6051 - interim abutment
D6190 - radiographic/surgical implant index, by report

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 try the CPT code below and include a narrative report describing the procedure:
41899 - Unlisted procedure, dentoalveolar structures

I cannot seem to locate D2429 - what is the description you have for that?

Hope this helps, have a great day!

Edited by user Thursday, February 9, 2017 8:06:16 AM(UTC)  | Reason: Not specified

Guest
#3 Posted : Thursday, February 22, 2018 9:32:36 AM(UTC)
Quote
Guest

Rank: Guest

Joined: 9/8/2012(UTC)
Posts: 1,150

Was thanked: 16 time(s) in 15 post(s)
Hello, could you help me transfer these dental codes to medical codes:\

D6190 Implant surgical stent
D6057 Duplicate custom abutment
D6199 Temporary Crown
D0220 Verification xrays
D6999 Implant analog
D6058 Crown
D6057 Abutment
D6095 Screw, for implant
D2999 Impression
D0470 Diagnostic Casts
D9950 Diagnostic Mounting

Thank you.
mbrzezinski
#4 Posted : Thursday, February 22, 2018 1:23:56 PM(UTC)
Quote
mbrzezinski

Rank: Advanced Member

Joined: 7/22/2014(UTC)
Posts: 104

Was thanked: 1 time(s) in 1 post(s)
Hi Guest!
D0220 - intraoral - periapical first radiographic image
can be cross coded to:
70300 - Radiologic examination, teeth; single view

D0470 - diagnostic casts
can be crosscoded to:
99070 - special supplies & materials
or
A4580 - cast supplies (e.g. plaster)


D6190 - radiographic/surgical implant index, by report
D6057 - custom fabricated abutment - includes placement
D6199- unspecified implant procedure, by report
D2999 - unspecified restorative procedure, by report
D9950 - occlusion analysis - mounted case
D6999 - unspecified fixed prosthodontic procedure, by report
D6058 - abutment supported porcelain/ceramic crown
D6095- repair implant abutment, by report

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 try the CPT codes below and include a narrative report describing the procedure:
41899 - Unlisted procedure, dentoalveolar structures

Hope this helps!
Guest
#5 Posted : Wednesday, April 17, 2019 7:39:08 AM(UTC)
Quote
Guest

Rank: Guest

Joined: 9/8/2012(UTC)
Posts: 1,150

Was thanked: 16 time(s) in 15 post(s)
Hi Im trying to convert a dental code D2999 to a cpt code??
courtneydsnow
#6 Posted : Wednesday, April 17, 2019 8:13:28 AM(UTC)
Quote
courtneydsnow

Rank: Administration

Joined: 11/21/2012(UTC)
Posts: 1,503

Thanks: 39 times
Was thanked: 47 time(s) in 47 post(s)
Hi Guest!

D2999 - unspecified restorative procedure, by report

The code listed above dowa not have a direct crosscode, 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!
Guest
#7 Posted : Tuesday, August 27, 2019 9:35:07 AM(UTC)
Quote
Guest

Rank: Guest

Joined: 9/8/2012(UTC)
Posts: 1,150

Was thanked: 16 time(s) in 15 post(s)
Our patient fell in her bathroom and she cracked her front veneers. We temped the front teeth with bondings until everything healed up. Unfortunately she needed a RCT and after that we made her new veneers. Her dental insurance said she should put through her medical since it was an accident.
The codes are:
D3310
D0140
D2962
D2331
D2332
Can you convert these to medical codes?
courtneydsnow
#8 Posted : Tuesday, August 27, 2019 10:17:35 AM(UTC)
Quote
courtneydsnow

Rank: Administration

Joined: 11/21/2012(UTC)
Posts: 1,503

Thanks: 39 times
Was thanked: 47 time(s) in 47 post(s)
Hi Guest!

No problem - although just a heads up, many medical insurers will specify in their coverage policies that they will only cover damage/trauma to "sound, natural teeth" as a result of an accident.


D0140
- limited oral evaluation - problem focused
Can be crosscoded to:
99201 - Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; 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, 10 minutes are spent face-to-face with the patient and/or family.
or
99211 - Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. Usually, the presenting problem(s) are minimal. Typically, 5 minutes are spent performing or supervising these services.



D3310
- endodontic therapy anterior tooth (excluding final restoration)
D2962 - labial veneer (porcelain laminate) - laboratory
D2331 - resin-based composite - two surfaces, anterior
D2332 - resin-based composite - three surfaces, anterior

The codes listed above do not 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 use the CPT code below and include a narrative report describing the procedure:
41899 - Unlisted procedure, dentoalveolar structures



And some diagnosis coding options:

K03.81 - Cracked tooth
S02.5XXA - Fracture of tooth (traumatic), initial encounter for closed fracture
S02.5XXB - Fracture of tooth (traumatic), initial encounter for open fracture
S03.2XXA - Dislocation of tooth, initial encounter
M26.34 - Vertical displacement of fully erupted tooth or teeth
M26.33 - Horizontal displacement of fully erupted tooth or teeth
K08.531 - Fractured dental restorative material with loss of material
K08.530 - Fractured dental restorative material without loss of material


And for the fall i'll need a few more details to offer diagnosis coding options. Did the patient simply slip on the floor, or in the shower? strike any objects on the way down?


Guest
#9 Posted : Monday, September 23, 2019 4:43:50 PM(UTC)
Quote
Guest

Rank: Guest

Joined: 9/8/2012(UTC)
Posts: 1,150

Was thanked: 16 time(s) in 15 post(s)
Hello!

Trying to file an insurance claim for a patient & need cross codes for dental codes:

D2330
D3310

The patient fell, hitting their mouth on a foosball table, displaced teeth 9 & 10 and needed RCT post placement & stabilization of teeth.

Thank you in advance for any guidance!
courtneydsnow
#10 Posted : Tuesday, September 24, 2019 7:44:57 AM(UTC)
Quote
courtneydsnow

Rank: Administration

Joined: 11/21/2012(UTC)
Posts: 1,503

Thanks: 39 times
Was thanked: 47 time(s) in 47 post(s)
Hi Guest!

D2330 - resin-based composite - one surface, anterior
D3310 - endodontic therapy anterior tooth (excluding final restoration)

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


As for the diagnosis coding options based on what you described:

S02.5XXA - Fracture of tooth (traumatic), initial encounter for closed fracture
S02.5XXB - Fracture of tooth (traumatic), initial encounter for open fracture
S03.2XXA - Dislocation of tooth, initial encounter
M26.34 - Vertical displacement of fully erupted tooth or teeth
M26.33 - Horizontal displacement of fully erupted tooth or teeth

W01.198A - Fall on same level from slipping, tripping and stumbling with subsequent striking against other object, initial encounter


Hope this helps!
Guest
#11 Posted : Wednesday, October 16, 2019 3:05:02 PM(UTC)
Quote
Guest

Rank: Guest

Joined: 9/8/2012(UTC)
Posts: 1,150

Was thanked: 16 time(s) in 15 post(s)
Hi! I need an implant for medical reasons could you please help me translate these dental codes to medical codes:
6010
6058
6056
Thank you!
courtneydsnow
#12 Posted : Friday, October 18, 2019 10:42:53 AM(UTC)
Quote
courtneydsnow

Rank: Administration

Joined: 11/21/2012(UTC)
Posts: 1,503

Thanks: 39 times
Was thanked: 47 time(s) in 47 post(s)
Hi Guest!

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)


D6058 - abutment supported porcelain/ceramic crown
D6056 - prefabricated abutment - includes modification and placement

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


Hope this helps!
Guest
#13 Posted : Friday, March 13, 2020 4:19:15 PM(UTC)
Quote
Guest

Rank: Guest

Joined: 9/8/2012(UTC)
Posts: 1,150

Was thanked: 16 time(s) in 15 post(s)
Hi, I need urgent help submitting to my medical insurance CPT codes. My dentist gave me the dental codes but they need to be medically equivalent to medical CPT codes so they can cover. I have called so many dental offices and my medical insurance and nobody has a clue. I hope you can help me with this that way I can be covered due to extreme pain.

D0367

#8 D6010

#9 D6010

#8 D6057

#9 D6057

courtneydsnow
#14 Posted : Saturday, March 14, 2020 10:07:21 AM(UTC)
Quote
courtneydsnow

Rank: Administration

Joined: 11/21/2012(UTC)
Posts: 1,503

Thanks: 39 times
Was thanked: 47 time(s) in 47 post(s)
Hi Guest!


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"


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)


D6057 - custom fabricated abutment - includes placement

The code listed above does not 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 use the CPT code below and include a narrative report describing the procedure:
41899 - Unlisted procedure, dentoalveolar structures



Hope this helps!

Edited by user Saturday, March 14, 2020 10:08:52 AM(UTC)  | Reason: Not specified

Guest
#15 Posted : Tuesday, June 30, 2020 4:19:03 PM(UTC)
Quote
Guest

Rank: Guest

Joined: 9/8/2012(UTC)
Posts: 1,150

Was thanked: 16 time(s) in 15 post(s)
Im trying to submit to medical for the d9950 does anyone know the medical code ?
Guest
#16 Posted : Tuesday, July 28, 2020 3:17:48 PM(UTC)
Quote
Guest

Rank: Guest

Joined: 9/8/2012(UTC)
Posts: 1,150

Was thanked: 16 time(s) in 15 post(s)
Im trying to convert D1110 & D0120 to medical.
Please help
courtneydsnow
#17 Posted : Wednesday, July 29, 2020 9:54:11 AM(UTC)
Quote
courtneydsnow

Rank: Administration

Joined: 11/21/2012(UTC)
Posts: 1,503

Thanks: 39 times
Was thanked: 47 time(s) in 47 post(s)
Hi Guest!

D0120 - periodic oral evaluation - established patient
can be crosscoded to:

99211 - Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. Usually, the presenting problem(s) are minimal. Typically, 5 minutes are spent performing or supervising these services.

99212 - Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused history; A problem focused examination; 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, 10 minutes are spent face-to-face with the patient and/or family.


D1110 - prophylaxis - adult

The code listed above does not 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


Hope this helps!
Guest
#18 Posted : Monday, August 3, 2020 2:02:06 PM(UTC)
Quote
Guest

Rank: Guest

Joined: 9/8/2012(UTC)
Posts: 1,150

Was thanked: 16 time(s) in 15 post(s)
Hello,

I was hoping you can translate the following dental code to medical codes. Thanks you so much.

D0383 - CT Image, both jaws
D0140 - Limited oral evaluation
D2335 - Resin-4 + w/incis angle-anterior

Thx
courtneydsnow
#19 Posted : Tuesday, August 4, 2020 8:05:06 AM(UTC)
Quote
courtneydsnow

Rank: Administration

Joined: 11/21/2012(UTC)
Posts: 1,503

Thanks: 39 times
Was thanked: 47 time(s) in 47 post(s)
Hi Guest!


D0383 - Cone beam CT image capture with field of view of both jaws, with or without cranium

There is actually not currently a specific CPT code for Cone Beam CT (CBCT)……the closest CPT code is: “70486 - Computed tomography, maxillofacial area; without contrast material”. Some medical payers state in their policy that 70486 should be used for CBCT, for example, United Healthcare & Evicore state this in their radiology medical coverage policy. However, some medical insurers may perfer a different code when used for CBCT because the description of 70486 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"



D0140 - limited oral evaluation - problem focused
Can be crosscoded to:
99201 - Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; 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, 10 minutes are spent face-to-face with the patient and/or family.
or
99211 - Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. Usually, the presenting problem(s) are minimal. Typically, 5 minutes are spent performing or supervising these services.


D2335 - resin-based composite - four or more surfaces or involving incisal angle (anterior)

The code listed above does not 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 that do not have a specific CPT code), or you can use the CPT code below and include a narrative report describing the procedure:
41899 - Unlisted procedure, dentoalveolar structures


Hope this helps!
Guest
#20 Posted : Thursday, August 6, 2020 6:30:02 PM(UTC)
Quote
Guest

Rank: Guest

Joined: 9/8/2012(UTC)
Posts: 1,150

Was thanked: 16 time(s) in 15 post(s)
Hi,
Can you tell me if the following dental codes have an equivalent medical code?
D7286
D9222
D9223

Thank you!!

Quick Reply Show Quick Reply
2 Pages12>
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.