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#1 Posted : Saturday, March 28, 2020 10:16:29 PM(UTC)

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What are the CPT codes for the following DPT Codes?

D7210 Surgical Removal, Erupted Toth, Flap Elevation, Removal of BOne and/or Section (tooth 15) (treatment type: oral and maxillofacial surgery)
D7953 Bone Replacement Graft for Ridge Preservation (tooth 15)(treatment type: oral and maxillofacial surgery)
D4266 Guided Tissue Regeneration, Resorable Barrier, per site (tooth 15) (treatment type: periodontics)
D0364 cone Beam Ct Scan

What are the current ICD codes for the following dental diagnoses?
Periapical Diagnosis: Symptomatic Apical Periodontitis
Secondary trauma from occlusion
Localized periodontitis, stage III grade B
Chronic bruxism
Primary trauma from occlusion
previously completed RCT
chronic sinus disease

#2 Posted : Monday, March 30, 2020 9:28:38 AM(UTC)

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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

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

- Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated

There are not direct crosscodes we are aware of for extraction, so you can either use 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

D0364 - Cone beam CT capture and interpretation with limited field of view - less than one whole jaw

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, 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) We also see practices billing out for "76102 - Radiologic examination, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than with urography; bilateral"
or, there are some medical insurers that will process the “D” codes for procedures when there is not a specific CPT code available.

Here are some diagnosis coding options for the conditions/symptoms you listed:

K04.4 - Acute apical periodontitis of pulpal origin
K04.5 - Chronic apical periodontitis

K08.81 - Primary occlusal trauma
K08.82 - Secondary occlusal trauma

K05.211 - Aggressive periodontitis, localized, slight
K05.212 - Aggressive periodontitis, localized, moderate
K05.213 - Aggressive periodontitis, localized, severe
K05.311 - Chronic periodontitis, localized, slight
K05.312 - Chronic periodontitis, localized, moderate
K05.313 - Chronic periodontitis, localized, severe

G47.63 - Sleep related bruxism
F45.8 - Other somatoform disorders

J32.0 - Chronic maxillary sinusitis
J32.1 - Chronic frontal sinusitis

As for a previous root canal, there is not ICD coding i am aware of to signify that, unless you are reporting a complication from it, for example:

M27.51 - Perforation of root canal space due to endodontic treatment
K08.59 - Other unsatisfactory restoration of tooth

Hope this helps!
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