DentalWriter Forum

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

Notification

Icon
Error

New Topic Post Reply
Guest
#1 Posted : Tuesday, January 12, 2021 4:03:58 PM(UTC)
Quote
Guest

Rank: Guest

Joined: 9/8/2012(UTC)
Posts: 1,233

Was thanked: 16 time(s) in 15 post(s)
I have a 21-year-old patient that presents with pain and pressure related to a previous jaw trauma. The patient was beaten by a group of men. #22 and 23 had root canals 6 months after surgery in an attempt to relieve continuous pain. The current exam shows metal plate hardware anterior mandible. PARL at #21 and widened PDL at #23.

A retreat root canal would have low success. Planning the removal of #22 and #23 due to widened PDL and plan for implant replacement. Removal of hardware in the anterior mandible.

Question is what CPT and ICD9 codes can be used to have as much as possible covered from medical insurance?

The responses are greatly appreciated.

Edited by user Tuesday, January 12, 2021 7:26:55 PM(UTC)  | Reason: add details for coding

courtneydsnow
#2 Posted : Thursday, January 14, 2021 12:07:24 PM(UTC)
Quote
courtneydsnow

Rank: Administration

Joined: 11/21/2012(UTC)
Posts: 1,576

Thanks: 39 times
Was thanked: 48 time(s) in 48 post(s)
Hi Guest!

Based on what you described, here are some coding options for you :)

ICD-10 diagnosis coding options:

M27.2 - Inflammatory conditions of jaws
R68.84 - Jaw pain
G89.21 - Chronic pain due to trauma
Y04.0XXS - Assault by unarmed brawl or fight, sequela


Procedure (CPT) coding options:

As for the CPT code for extractions, there is actually not 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 code below and include a narrative report describing the procedure:
41899 - Unlisted procedure, dentoalveolar structures


For the removal of hardware in the anterior mandible:

20680 - Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)


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


Hope this helps!
Quick Reply Show Quick Reply
New Topic Post Reply
Forum Jump  
You can post new topics in this forum.
You can reply to topics in this forum.
You can delete your posts in this forum.
You can edit your posts in this forum.
You cannot create polls in this forum.
You can vote in polls in this forum.