DentalWriter Forum

Your central resource for DentalWriter posts, blogs, training resources, faq's, and more.

Notification

Icon
Error

Post a reply
From:
Message:

Maximum number of characters in each post is: 32767
Bold Italic Underline   Highlight Quote Choose Language for Syntax Highlighting Insert Image Create Link   Unordered List Ordered List   Left Justify Center Justify Right Justify   More BBCode Tags Check Spelling
Font Color: Font Size:
Security Image:
Enter The Letters From The Security Image:
  Preview Post Cancel

Last 10 Posts (In reverse order)
courtneydsnow Posted: Friday, June 26, 2020 12:13:01 PM(UTC)
 
Hi Guest!

D7953 - bone replacement graft for ridge preservation - per site
Can be cross coded to:
21210 - Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)
21215 - Graft, bone; mandible (includes obtaining graft)
**use modifier -52 for reduced services when bone is not obtained from patient

D4266
- guided tissue regeneration - resorbable barrier, per site
can be cross coded to:
41870 - Periodontal mucosal grafting
or
41899 - Unlisted procedure, dentoalveolar structures
**include narrative report to describe the procedure


Hope this helps!
Guest Posted: Wednesday, June 24, 2020 8:58:40 AM(UTC)
 
hi what is medical procedure for D7953 and D4266. my dentist said if converted medical insurance might pay for it
courtneydsnow Posted: Monday, September 23, 2019 12:48:32 PM(UTC)
 
Hi Guest!

Sorry to clarify - are you saying you're looking for the medical codes to use for extractions, bone grafts, and implants?

If so, here are some coding options below:

Bone grafts:
21210 - Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)
21215 - Graft, bone; mandible (includes obtaining graft)
**use modifier -52 for reduced services when bone is not obtained from patient

Implants:
21248 - Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial(3or less)
21249 - Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete (4 or more)

Extractions:
Extractions 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 codes below and include a narrative report describing the procedure:
41899 - Unlisted procedure, dentoalveolar structures


Hope this helps!
Benita Posted: Thursday, September 19, 2019 4:02:16 PM(UTC)
 
Originally Posted by: courtneydsnow Go to Quoted Post
Hi Guest!

Great question - yes the insurer may very well be looking for the crosscode. Quick question - was it your medical insurer or your dental insurer that you were looking at?


I have that same question my insurance is set up to get the approval from my medical insurance. I have the same question as this young lady as this was my coding from the dental as well.


QuoteMulti-QuoteGuest 

Posted : 2 years ago

I have a treatment plan from my periodontist to pull 4 teeth and apply bone grafts to three of them; and 6 months from now will return for dental implants. For the three teeth requiring a bone graft, they are using Codes D7210 (Extraction-surgical/erupt tooth), D7953 (Bone Replacement w/ext) and D4266 (Guided tissue regen-resorb-per). In calling my insurance carrier, and searching their site by code, it appears that the Code D7953 no longer exists. Can you tell me what procedure code should be used for Bone Replacement w/ext - are they cross-coding or coding incorrectly for what I described?

Thank you.


courtneydsnow Posted: Monday, June 11, 2018 8:10:01 AM(UTC)
 
Hi Guest!

Yes, Medicare certainly does have a 90 day global period associated with HCPCS code E0486 (for custom made oral appliances for Obstructive Sleep Apnea), however I don't believe the global period is necessarily the same for surgical procedures (many insurers will have a 10 to 14 day global period associated with surgical procedures).

As for coverage availability and criteria for Medicare for sinus lifts - this will likely vary depending on your Medicare Part B jurisdiction. I would recommend visiting your Medicare Part B MAC's website and searching the LCD's for CPT 21210 to see if there is additional coverage information available.

Hope this helps!
Guest Posted: Wednesday, June 6, 2018 2:15:40 PM(UTC)
 
i understand that medicare has three months global period for billing. what if I do sinus lift on both sides? can I? If yes, will i be reinbursed for both bone grafts?
courtneydsnow Posted: Wednesday, February 21, 2018 5:41:39 PM(UTC)
 
Hi Guest!

D7951 - sinus augmentation with bone or bone substitutes via a lateral open approach
can be crosscoded to:
21210 - graft, bone; nasal, maxillary, or malar areas
*use -52 modifier for reduced services when bone is not obtained from the patient

Hope this helps!
Guest Posted: Wednesday, February 21, 2018 4:08:34 PM(UTC)
 
What is the medical code for D7951 if I had to have an extraction?
Guest Posted: Friday, February 17, 2017 9:09:15 AM(UTC)
 
wow that's great it is to build bone for an implant in 6 months!!

thank you so much!!!

Lee
courtneydsnow Posted: Thursday, February 16, 2017 9:59:40 AM(UTC)
 
Hi Lee M!

D7951 - sinus augmentation with bone or bone substitutes via a lateral open approach
D4266 - guided tissue regeneration - resorbable barrier, per site

The ICD-10 diagnosis code(s) for these services will depend on the patient's condition and why the services were done.

For example, if the services are being done due to atrophy, you may end up using one of the following:

K08.21 - Minimal atrophy of the mandible
K08.22 - Moderate atrophy of the mandible
K08.23 - Severe atrophy of the mandible
K08.24 - Minimal atrophy of maxilla
K08.25 - Moderate atrophy of the maxilla
K08.26 - Severe atrophy of the maxilla

If it is being done for another reason (i.e. accident, loss of teeth, etc), let me know and I can offer you some coding options.

Hope this helps!