Hi Guest!

As for the CPT crosscodes for the procedures you listed:

D6104 - bone graft at time of implant placement
can be crosscoded to:
21210 - graft, bone; nasal, maxillary, or malar areas
21215 - graft, mandibular
**use modifier -52 for reduced services when bone is not obtained from patient

D6010 - surgical placement of implant body: endosteal implant
can be cross coded to:
21248 - Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial (3 or less)
(basically, if it was 3 or less implants, you'll use 21248 instead of 21249)


D0367 - Cone beam CT capture with interpretation with field of view of both jaws, with or without cranium

There is actually not currently a specific CPT code for CBCT……the closest CPT code is: “70486 - Computed tomography, maxillofacial area; without contrast material”. Many offices have been using this for some time for CBCT, and some insurers require this code to be used for CBCT (i.e. UHC). However, some medical insurers are auditing that code when used for CBCT because the description does not specify “cone beam”.

So, “76497 - Unlisted computed tomography procedure (eg, diagnostic, interventional)” is an option to use (keep in mind you'll need to provide a narrative description for unlisted codes).


D0160 - detailed and extensive oral evaluation - problem focused, by report
can be crosscoded to one of the following Evaluation & Management (E&M) codes:
New patients:
99202 – 15-29 mins
99203 – 30-44 mins
99204 – 45-59 mins
99205 – 60-74 mins

Established patients:
99212 – 10-19 mins
99213 – 20-29 mins
99214 – 30-39 mins
99215 – 40-54 mins


D7210 - Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated
D6085 - provisional implant crown
D6051 - interim abutment

As for extractions, crowns & abutments, they do not have a direct crosscode, 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



As for the ICD-10 diagnosis code(s), based on what you described, here are some coding options for you to consider:
K03.81 - Cracked tooth
Y65.8 - Other specified misadventures during surgical and medical care

Hi Rachel!

Depending on the patient's condition/situation, it is very likely that you'll use the same diagnostic codes for the D7957 as you did for the D7953 (basically, the diagnosis(es) that led to the bone graft being needed can be the same reason that the guided tissue regeneration needed to be done as well).

And just a heads up, some medical insurers will require the use of CPT codes (medical procedure codes) instead of the CDT code (dental procedure codes). If that's the case:

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


D7957 - guided tissue regeneration, edentulous area – non-resorbable barrier, per site

This code 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), but for the medical insurers who won't accept the "D" codes, you can try the CPT code below and include a narrative report describing the procedure:
41899 - Unlisted procedure, dentoalveolar structures


Hope this helps!