Rank: Guest
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Hello!
We have a patient who has dental insurance that is requiring that their medical carrier review the claim before they will consider processing the claim. The patient is requiring 8 extractions and desires immediate implants and provisionalization with a fixed hybrid prosthesis.
What would the appropriate codes (excluding the extractions) that would be needed to appropriately bill for bone reduction, implant guide, multi-unit abutments, and long-term temp use?
In addition, we typically use a lab that will allow us to virtually plan treatment - is there a code that is available for this treatment plan process?
Thank you for any and all help that you can offer!
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Rank: Guest
Joined: 9/8/2012(UTC)
Posts: 2,240
Was thanked: 16 time(s) in 15 post(s)
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Would LOVE any assistance on this, please!
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Rank: Administration
Joined: 11/21/2012(UTC)
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Hi Guest!
For bone reduction:
41874 - Alveoloplasty, each quadrant (specify)
The other procedures you listed do not have a direct crosscode we are aware of - 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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