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#1 Posted : Thursday, May 13, 2021 12:23:02 PM(UTC)

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My Daughter is missing her adult Lateral Teeth #7 & #10 (Anodontia).
She does not need a sinus lift.
could you provide the Diagnosis Code and the Medical procedure codes for:
Anodontia, D6010 (Surgical placement of Implant B, #7 & #10), D6104(Bone Graft at time of Implant, #7 & #10), & D4265 (Biologic Material- Soft & Oss)
Thank you, I really appreciate your help.
#2 Posted : Friday, May 14, 2021 9:15:11 AM(UTC)

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Hi Sandra!

The ICD-10 diagnosis code for Anotontia is: K00.0

D6010 - surgical placement of implant body: endosteal implant
can be cross coded to:
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)

D6104 - bone graft at time of implant placement
can be crosscoded to:
21210 - graft, bone; nasal, maxillary, or malar areas
21215 - graft, mandibular
**use modifier -52 for reduced services when bone is not obtained from patient

D4265 - biologic materials to aid in soft and osseous tissue regeneration
Can be cross coded to:
99070 - Supplies and materials (except spectacles), provided by the physician or other qualified health care professional over and above those usually included with the office visit or other services rendered (list drugs, trays, supplies, or materials provided)

Hope this helps!

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