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Last 10 Posts (In reverse order)
courtneydsnow Posted: Tuesday, October 15, 2019 8:17:07 AM(UTC)
 
Hi Candice!

Yes you are correct on the procedure codes for bone grafts and implants:

21210 - graft, bone; nasal, maxillary, or malar areas (includes obtaining graft)
21215 - Graft, bone; mandible (includes obtaining graft)
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)


As for diagnosis codes for bone loss (atrophy) and aggressive periodontitis:

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
K05.211 - Aggressive periodontitis, localized, slight
K05.212 - Aggressive periodontitis, localized, moderate
K05.213 - Aggressive periodontitis, localized, severe
K05.219 - Aggressive periodontitis, localized, unspecified severity
K05.221 - Aggressive periodontitis, generalized, slight
K05.222 - Aggressive periodontitis, generalized, moderate
K05.223 - Aggressive periodontitis, generalized, severe
K05.229 - Aggressive periodontitis, generalized, unspecified severity


As for "use modifier 52" when it comes to bone grafts - modifier 52 is typically used when bone substitute is used for the graft rather than the bone being obtained/harvested from the patient. Since the bone grafting codes description's specify "includes obtaining graft" modifier 52 stands for "reduced services" to indicate the bone was not obtained from the patient.

Hope this helps!
Guest Posted: Wednesday, October 9, 2019 1:56:55 PM(UTC)
 
I am looking for some CPT and Dx codes. I lost all my teeth and had to have bone graphs done on top and bottom. I have had two implants put in but need more. Here is what I have so far if you can confirm and provide missing needed information.

Bone Graph 21210 & 21215 Need DX code
Implant 21248 & 21249

This was due to bone loss from Aggressive Periodontitis also what is " use modifier 52" mean

Candice
courtneydsnow Posted: Tuesday, January 8, 2019 9:50:26 AM(UTC)
 
Hi Guest!

No problem - here is a link to a presentation that goes more into detail!

https://www.prosthodontics.org/assets/1/7/ACP_PDI_Partial_Edentulism1.pdf
Guest Posted: Monday, January 7, 2019 11:07:13 PM(UTC)
 
Can you dive into a little about the Classes and how to differentiate between them?

For example:

Partial loss of teeth, due to periodontal diseases:
o K08.421 - Partial loss of teeth due to periodontal diseases, class I
o K08.422 - Partial loss of teeth due to periodontal diseases, class II
o K08.423 - Partial loss of teeth due to periodontal diseases, class III
o K08.424 - Partial loss of teeth due to periodontal diseases, class IV
o K08.429 - Partial loss of teeth due to periodontal diseases, unspecified class

Partial loss of teeth, due to caries:
o K08.431 - Partial loss of teeth due to caries, class I
o K08.432 - Partial loss of teeth due to caries, class II
o K08.433 - Partial loss of teeth due to caries, class III
o K08.434 - Partial loss of teeth due to caries, class IV
o K08.439 - Partial loss of teeth due to caries, unspecified class

Thanks!
courtneydsnow Posted: Thursday, February 15, 2018 9:44:42 AM(UTC)
 
Hi Jen!

The diagnosis code(s) to use depends on the patient's condition.... basically - what is the condition/reason the services are being done?

For example, if the sinus lift is being performed due to atrophy, here are the mild, moderate, and severe ICD-10 diagnosis codes for atrophy of the mandible and maxilla:
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 the sinus lift is being performed for a different reason/condition, let me know and I am happy to help you with some coding options.

Hope this helps!
Jen Posted: Wednesday, February 14, 2018 3:18:19 PM(UTC)
 
Good Afternoon,

I am billing a 21210 to medical? What dx code would you use?
We are doing a sinus lift for a implant.

Thank you.
Guest Posted: Wednesday, November 8, 2017 1:06:12 PM(UTC)
 
Message was deleted by a Moderator. | Reason: Not specified
courtneydsnow Posted: Monday, October 16, 2017 4:46:48 PM(UTC)
 
Hi Guest!

Here are some ICD-10 coding options for you below for partial loss of teeth:

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

Partial loss of teeth, due to periodontal diseases:
o K08.421 - Partial loss of teeth due to periodontal diseases, class I
o K08.422 - Partial loss of teeth due to periodontal diseases, class II
o K08.423 - Partial loss of teeth due to periodontal diseases, class III
o K08.424 - Partial loss of teeth due to periodontal diseases, class IV
o K08.429 - Partial loss of teeth due to periodontal diseases, unspecified class

Partial loss of teeth, due to caries:
o K08.431 - Partial loss of teeth due to caries, class I
o K08.432 - Partial loss of teeth due to caries, class II
o K08.433 - Partial loss of teeth due to caries, class III
o K08.434 - Partial loss of teeth due to caries, class IV
o K08.439 - Partial loss of teeth due to caries, unspecified class

Partial loss of teeth, due to other specified cause:
o K08.491 - Partial loss of teeth due to other specified cause, class I
o K08.492 - Partial loss of teeth due to other specified cause, class II
o K08.493 - Partial loss of teeth due to other specified cause, class III
o K08.494 - Partial loss of teeth due to other specified cause, class IV
o K08.499 - Partial loss of teeth due to other specified cause, unspecified class

Partial loss of teeth, unspecified cause:
o K08.401 - Partial loss of teeth, unspecified cause, class I
o K08.402 - Partial loss of teeth, unspecified cause, class II
o K08.403 - Partial loss of teeth, unspecified cause, class III
o K08.404 - Partial loss of teeth, unspecified cause, class IV
o K08.409 - Partial loss of teeth, unspecified cause, unspecified class


Hope this helps!
Guest Posted: Monday, October 16, 2017 3:27:21 PM(UTC)
 

What is the ICD 10 code when the 21210 procedure is done for loss of tooth?

(D7951 and D6010)
mbrzezinski Posted: Tuesday, April 11, 2017 4:02:54 PM(UTC)
 
Hi Carmen!

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)
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

The ICD-10 diagnosis code(s) for these services will depend on the patient's condition and why the services were done.

For example, if the services are being 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!