Hi Guest!

D6010 - surgical placement of implant body: endosteal implant
can be crosscoded to:
21248 - Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial(3or less)
21249 - Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete (4 or more)

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


As far as the ICD-10 diagnosis code(s) for these service, that will depend on the patient's condition and why the services were done.

For example, if the bone grafts and implants were done due to atrophy, you may end up using one of the following:

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

If it is being done for another reason (i.e. accident, loss of teeth, etc), let me know and I can offer you some coding options.

Hope this helps!

Hi Joel!

You will need both ICD-10 (diagnosis) codes and CPT (procedure) codes when billing to medical insurance. I have listed the CPT code conversions for the dental codes you listed below, however in order to offer you ICD coding options, I'll need some information about your wife's condition in order to do so (in other words, why were these services done? i.e. due to an accident, atrophy of the jaw bones, etc).

D0150 - comprehensive oral evaluation - new or established patient
and
D0160 - detailed and extensive oral evaluation - problem focused, by report
can be crosscoded to a new or established patient evaluation & management (E&M) codes - 99202-99205 (new patients), or 99211-99215 (established patient):

New patients:
99202 – 15-29 mins
99203 – 30-44 mins
99204 – 45-59 mins
99205 – 60-74 mins

Established patients:
99212 – 10-19 mins
99213 – 20-29 mins
99214 – 30-39 mins
99215 – 40-54 mins


D0210 - intraoral - complete series of radiographic images
can be crosscoded to:
70320 - Radiologic examination, teeth; complete, full mouth


D9243 - Intravenous moderate (conscious) sedation/analgesia – each 15 minute increment
and
D9239 - Intravenous moderate (conscious) sedation/anesthesia – first 15 minutes
can be crosscoded to:

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

and

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)


D9215 - Local anesthesia in conjunction with operative or surgical procedures
can be crosscoded to:
00170 - Anesthesia for intraoral procedures, including biopsy; not otherwise specified
00190 - Anesthesia for procedures on facial bones or skull; not otherwise specified


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
21249 - Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete


D7912 - complicated suture - greater than 5 cm
can be crosscoded to:
40831 - repair mouth laceration, complex or 2.5 or more


D0330 - panoramic radiographic image
Can be cross coded to:
70355 - Orthopantogram (eg, panoramic x-ray)


D0367 - Cone beam CT capture with interpretation with field of view of both jaws, with or without cranium

There is actually not currently a specific CPT code for CBCT……the closest CPT code is: “70486 - Computed tomography, maxillofacial area; without contrast material”. Many offices have been using this for some time for CBCT, and some insurers require this code to be used for CBCT (i.e. UHC). However, some medical insurers are auditing that code when used for CBCT because the description does not specify “cone beam”.
So, “76497 - Unlisted computed tomography procedure (eg, diagnostic, interventional)” is an option to use (keep in mind you'll need to provide a narrative description for unlisted codes).


D0350 - 2D oral/facial photographic image obtained intra-orally or extra-orally
D0470 - diagnostic casts
D6056 - prefabricated abutment - includes modification and placement
D6119 - implant/abutment supported interim fixed denture for edentulous arch – maxillary
D6190 - radiographic/surgical implant index, by report
D7140 - Extraction, erupted tooth or exposed root (elevation and/or forceps removal)
D9951 - occlusal adjustment - limited

The codes listed above 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!