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Nierman Practice Management Forum»»»CDT code D4277, D4278
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CDT code D4277, D4278 - Need CPT code |
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courtneydsnow | #4 Posted : Wednesday, September 27, 2017 4:48:59 PM(UTC) Quote | ||
Rank: Administration Joined: 11/21/2012(UTC) Thanks: 39 times | Hi Jenna! I am not aware of limit - the description of D4278 does specify "each additional contiguous tooth", so I believe you can bill a unit for each contiguous tooth. You may consider using the JP qualifiers on the claim when billing this - i.e. if you have 3 unit, you can use the JP qualifier to indicate on the line item the tooth number. Here is some additional information about the JO and JP qualifiers: The following are the codes for tooth numbers, reported with the JP qualifier: The following are the codes for areas of the oral cavity, reported with the JO qualifier: Examples of how this would look on the medical claim can be found in the NUCC's CMS 1500 claim form manual here, starting on page 46 & 47: Hope this helps! | ||
Guest | #5 Posted : Monday, March 26, 2018 11:58:48 AM(UTC) Quote | ||
Rank: Guest Joined: 9/8/2012(UTC) Was thanked: 16 time(s) in 15 post(s) | Hi there, is code D4277 still active? I have an insurance company not listing as a covered benefit however they are covering D4273 and D4275??? | ||
courtneydsnow | #6 Posted : Tuesday, March 27, 2018 9:12:36 AM(UTC) Quote | ||
Rank: Administration Joined: 11/21/2012(UTC) Thanks: 39 times | Hi Guest! Great question. Dental coding is really not our forte like medical coding is - but yes it does appear that D4277 (free soft tissue graft procedure (including donor site surgery), first tooth or edentulous tooth position in graft) is still active. It does appear that code's description was revised in 2016 or so, but still active. That code not be listed as a covered benefit may likely just be the way that policy is designed. As for the other two codes you mentioned: D4273 - autogenous connective tissue graft procedure (including donor and recipient surgical sites) first tooth, implant, or edentulous tooth position in graft D4275 - non-autogenous connective tissue graft (including recipient site and donor material) first tooth, implant, or edentulous tooth position in graft Hope this helps! | ||
courtneydsnow | #10 Posted : Thursday, February 3, 2022 10:58:46 AM(UTC) Quote | ||
Rank: Administration Joined: 11/21/2012(UTC) Thanks: 39 times | Hi Kimm! Great question. For medical claims, instead of listing the same code multiple times, you would list it just once and indicate the fee for all procedures on that line item, and the use the JP or JO qualifier in the supplemental information are of the claim - JP to indicate tooth numbers, or JO to indicate areas of the oral cavity for services not tooth # related. An example of how to use the JP qualifier on the medical claim can be found int he NUCC's claim form manual on page 48, here is a link to it: So, for the coding scenario listed, it would be: JP23 24 25 JP24 25 26 Hope this helps! | ||
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Nierman Practice Management Forum»»»CDT code D4277, D4278
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