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Guest
#21 Posted : Monday, April 22, 2019 3:57:47 PM(UTC)
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Guest

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If you don’t mind helping with diagnosis codes too I would really appreciate it.
courtneydsnow
#22 Posted : Tuesday, April 23, 2019 10:20:58 AM(UTC)
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courtneydsnow

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Hi Guest!

No problem.

For the trauma, you're likely looking at:

K08.411 - Partial loss of teeth due to trauma, class I
K08.412 - Partial loss of teeth due to trauma, class II
K08.413 - Partial loss of teeth due to trauma, class III
K08.414 - Partial loss of teeth due to trauma, class IV
K08.419 - Partial loss of teeth due to trauma, unspecified class


There will also be a code to describe how to accident happened. Depending on the details of how it happened, here are some coding options:

- W01.0XXA - Fall on same level from slipping, tripping and stumbling without subsequent striking against object, initial encounter
- W01.198A - Fall on same level from slipping, tripping and stumbling with subsequent striking against other object, initial encounter
- W03.XXXA - Other fall on same level due to collision with another person, initial encounter
- W18.01XA - Striking against sports equipment with subsequent fall, initial encounter


And a few to identify where it happened:

Y92.39 - Other specified sports and athletic area as the place of occurrence of the external cause
Y92.310 - Basketball court as the place of occurrence of the external cause
Y92.311 - Squash court as the place of occurrence of the external cause
Y92.312 - Tennis court as the place of occurrence of the external cause
Y92.318 - Other athletic court as the place of occurrence of the external cause
Y92.320 - Baseball field as the place of occurrence of the external cause
Y92.321 - Football field as the place of occurrence of the external cause
Y92.322 - Soccer field as the place of occurrence of the external cause
Y92.328 - Other athletic field as the place of occurrence of the external cause


Hope this helps!
Guest
#23 Posted : Tuesday, February 18, 2020 4:25:08 PM(UTC)
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Isn't the CPT code for Alveolar Ridge Fracture 21440; not 21140? 21140 is not in any of my coding books currently. I am coding for fracture repair with teeth stabilization. the teeth were luxated; not subluxed; not evulsed. D codes are either D7620 which really only crosses over to LeForte fractures and so isn't really accurate for Alveolar Ridge so I am thinking the D7670- alveolus; includes stabilization. BUT...D7270 is for teeth reimplantation and/OR (or being key word) - stabilization of evulsed OR displaced tooth (luxated = Displaced)


We simply placed arch bars to reduce fracture and restabalize teeth.

I am needing to file Medical first as Dental requires medical eob.
courtneydsnow
#24 Posted : Wednesday, February 19, 2020 9:03:58 AM(UTC)
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courtneydsnow

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Hi Guest!

Yes 21140 is not a valid CPT code, that was a typo on my part! Thank you for pointing that out so i can correct that post!

21440 stands for:
Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)

Gaylen
#25 Posted : Tuesday, July 7, 2020 5:46:01 PM(UTC)
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Hi I'm looking for the corresponding medical codes (Diagonsistic & Procedure) for the following dental codes:

D4266 Guided Tiss Regen-resorb-per
D7951 Sinus Augmentation w/bone

If you could help me, i would really appreciate it.

Signed
a tired patient trying to get this resolved.
courtneydsnow
#26 Posted : Wednesday, July 8, 2020 8:22:26 AM(UTC)
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courtneydsnow

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Hi Gaylen!


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


D4266 - guided tissue regeneration - resorbable barrier, per site

There is not a direct crosscode available for this service, so if the medical insurer will not accept the "D" code on the medical claim (many will these days when they are medically necessary procedures), or you can use the code below and include narrative report to describe the procedure:
41899 - Unlisted procedure, dentoalveolar structures


Now, as for the diagnostic code(s) - that will depend on why these services performed, or basically, what issues/condition(s) are being treated?

For example, if there is atrophy of the maxilla (upper jaw):

K08.24 - Minimal atrophy of maxilla
K08.25 - Moderate atrophy of the maxilla
K08.26 - Severe atrophy of the maxilla


Hope this helps!
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