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Thread: Anesthesia consults for dental surgery, can they get paid?

  1. #1

    Default Anesthesia consults for dental surgery, can they get paid?

    AAPC: Back to School
    We have quite a few kids on Medicaid that come in for anesthesia clearance evaluations for dental surgery. Has anyone had luck getting these paid? The consult dx doesn't work for Medicaid and MD's can't code dental dx as primary either. Appeals aren't working. Any suggestions on how to code these visits to get them paid?
    Last edited by bugaboo; 12-27-2007 at 01:25 PM. Reason: spelling error

  2. #2

    Default Answer to my own question

    Here is what I found in the Medicaid billing instructions for those that may need this in the future. It's under the physician-related services....

    One pre-operative E&M procedure by a physician for a dental client prior to performing dental surgery in an outpatient setting. You must bill using dental diagnosis codes 520.1–525.9 as the primary diagnosis when billing E&M codes for pre-op services for dental surgery, along with the appropriate pre op diagnosis codes V72.81–V72.84) as the secondary diagnosis.

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