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Guest
#1 Posted : Wednesday, April 8, 2020 6:05:38 PM(UTC)
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Guest

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Hi, What is the medical code for
•Sedation evaluation
•Concious sedation
•D4266 guided tiss regen-resorb-per
•D7953 bone reply grft ridge prsv/site
•D7210 extract erupt the remaining other
•Nesbit partial
•Ozone Ext
•Wound dressing
For infected root canal tooth 30 with cyst

•Cavaitation (tooth 32)

Edited by user Wednesday, April 8, 2020 6:10:18 PM(UTC)  | Reason: Added more details

courtneydsnow
#2 Posted : Monday, April 13, 2020 11:04:33 AM(UTC)
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courtneydsnow

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Hi Guest!

•Sedation evaluation
This would be billed as an evaluation & management visit (i.e. 99201-99205 for a new patient, 99211-99215 for an established patient)

•Concious sedation - you will choose 1 code for the initial 15 minutes (code depends on whether the patient is under or over 5 years of age), and then another code for each additional 15 minute increment. It also depends on whether the provider performing the service did the sedation or a different provider than the one performing the service:

99152
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient’s level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older

99153
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient’s level of consciousness and physiological status; each additional 15 minutes intraservice time (list separately in addition to code for primary service)

99155
Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient younger than 5 years of age

99156
Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient age 5 years or older

99157
Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; each additional 15 minutes intraservice time (list separately in addition to code for primary service)


•D4266 guided tiss regen-resorb-per
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


•D7953 bone reply grft ridge prsv/site
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


•D7210 extract erupt the remaining other
D7210 - 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


•Nesbit partial
There are not direct crosscodes we are aware of for partials, 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


•Ozone Ext
There is not a CPT code available that we are aware of for this service, so you will use an unlisted/misc procedure code and include a narrative report describing the procedure, such as:
41899 - Unlisted procedure, dentoalveolar structures
40899 - Unlisted procedure, vestibule of mouth

•Wound dressing
A6460 - Synthetic resorbable wound dressing, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
A6461 - Synthetic resorbable wound dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing

For infected root canal tooth 30 with cyst
K04.8 - Radicular cyst
K09.0 - Developmental odontogenic cysts
K09.1 - Developmental (nonodontogenic) cysts of oral region
K09.8 - Other cysts of oral region, not elsewhere classified
K08.59 - Other unsatisfactory restoration of tooth
K12.2 - Cellulitis and abscess of mouth


Hope this helps!
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