converting D9223 to CPT code on 1500 form

taham

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Addison, Illinois
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I am new to oral/Maxillofacial coding
My surgeon is given me D9223.
How should i covert this to CPT Code on 1500 form to bill?
 

ntreber

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dental codes can be found in the back of you HCPCS
D9223 – Deep sedation/general anesthesia (each 15 increment)
I don't do anesthesia coding or billing. I am sure there have been quite a few changes to the CPT codes for it, but there should be one that matches the dental code
 

dwaldman

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My understanding is most carriers would want 00170 but other carrier want the D code to process, so would have watch for denials and how many units they allow for D9223 if they do want that code:

CPT 00170 Anesthesia for intraoral procedures, including biopsy; not otherwise specified

The typical primary diagnosis is:

K02.9
Dental caries, unspecified

It imperative to have access to the patient past medical history to list diagnoses why they need to be placed under general anesthesia versus being able to be done in a dentist office, For example, here would be common reasons general anesthesia would be needed for dental procedure:

F79
Unspecified intellectual disabilities

F84.0
Autistic disorder

F91.9
Conduct disorder, unspecified

E66.01
Morbid (severe) obesity due to excess calories

I50.9
Heart failure, unspecified
 
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