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I am trying to bill out for 2 complete bony extracts on #17 & #32. I am used code 41899. Now the claim eob is asking for the description of services. Are they asking for a modifier or diagnosis code? If so, what would be used for pain, decay or eruption disturbances for ICD-10? Also, what line does this go on? Help??/
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Hi Linda H!
It sounds like the insurer is looking for a narrative report to describe what service CPT 41899 is being used for. The description of CPT code 41899 is "Unlisted procedure, dentoalveolar structures" So can be used for many different services that don't have a specific CPT code.
So, you can either describe the procedure in a narrative report and submit as supporting documentation, or you can enter the "ZZ" modifier on the line item in the red shaded portion in field 24 of the claim form and write a short description of the service after the ZZ modifier.
If the insurer is looking for additional diagnosis codes (field 21 of the claim form), here are some coding options for you based on what you described:
G50.1 - Atypical facial pain
R52 - Pain, unspecified
K00.6 - Disturbances in tooth eruption
K02.3 - Arrested dental caries
K02.51 - Dental caries on pit and fissure surface limited to enamel
K02.52 - Dental caries on pit and fissure surface penetrating into dentin
K02.53 - Dental caries on pit and fissure surface penetrating into pulp
K02.61 - Dental caries on smooth surface limited to enamel
K02.62 - Dental caries on smooth surface penetrating into dentin
K02.63 - Dental caries on smooth surface penetrating into pulp
K02.7 - Dental root caries
K02.9 - Dental caries, unspecified
Hope this helps!
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