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Hi Guest!
To determine the proper diagnosis code(s), it all depends on why the patient is receiving the services. Some common diagnosis codes used when bone grafts are being performed are:
K08.21 - Minimal atrophy of the mandible
K08.22 - Moderate atrophy of the mandible
K08.23 - Severe atrophy of the mandible
K08.24 - Minimal atrophy of maxilla
K08.25 - Moderate atrophy of the maxilla
K08.26 - Severe atrophy of the maxilla
However, if they are being performed due to a traumatic accident, a tumor removal, or a different reason - there are separate codes for that. If you'd like to provide additional details about the patient's condition/symptoms, I am happy to offer you some coding options.
Hope this helps!
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Help! I need to bill an initial office visit and xrays due to an accident causing multiple cracked teeth. And I also need to bill for 8 crowns for all of the cracked teeth also due to trauma. Can someone help me with all the codes? I am so confused!
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Rank: Administration
Joined: 11/21/2012(UTC)
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Hi Guest!
Based on what you described, here are some ICD-10 (diagnosis) coding options:
One or both of these:
S02.5XXA - Fracture of tooth (traumatic), initial encounter for closed fracture
S02.5XXB - Fracture of tooth (traumatic), initial encounter for open fracture
And this one if applicable:
G89.11 - Acute pain due to trauma
You will also want to provide a code that describes the accident (there are tons and are very specific!). If you'd like to provide me with details about the accident & how it happened, i'm happy to offer you some coding options.
As for the crowns, there are not direct crosscodes for this service, 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
Hope this helps!
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Can you bill D7451 with D7240 on the same tooth?
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Rank: Administration
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Hi Guest!
D7451 - removal of benign odontogenic cyst or tumor - lesion diameter greater than 1.25 cm
D7240 - Removal of impacted tooth - completely bony
Yes, it is common in medical billing for dental practices to bill an extraction as well as a removal of a cyst or tumor.
Hope this helps!
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