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Guest
#1 Posted : Wednesday, January 17, 2018 11:50:36 AM(UTC)
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Guest

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Can you possibly help me, trying to file a dental claim to a medical insurance that has a dental rider...do you know if I need to submit CPT codes? It is for Prophy(D1110) and Periodic Exam (D0120)
courtneydsnow
#2 Posted : Wednesday, January 17, 2018 4:33:33 PM(UTC)
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courtneydsnow

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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
#3 Posted : Thursday, September 2, 2021 11:23:33 AM(UTC)
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I am in need of converting CDT codes into CPT codes as follows:0220, D2330, D0150. D0140. Trying to submit info and I do not have the CPT codes.
courtneydsnow
#4 Posted : Thursday, September 2, 2021 1:02:10 PM(UTC)
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courtneydsnow

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Hi Guest!

D0140 - limited oral evaluation - problem focused
D0150 - comprehensive oral evaluation - new or established patient
can be crosscoded to:
99202 - level 2 new patient Evaluation & Management (office visit)
or
99212 - level 2 established patient Evaluation & Management (office visit)


D0220 - intraoral - periapical first radiographic image
can be cross coded to:
70300 - Radiologic examination, teeth; single view



D2330 - resin-based composite - one surface, anterior

The code 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!
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