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Hello, I will be billing medical insurance for D7473 removal of torus mandibularis. The corresponding CPT code is 21031. This is my first time billing this service to medical and one of my first times billing oral surgery to medical period, so I would greatly appreciate some guidance! One reference guide I've found says that the two most common diagnosis codes for 21031 are M27.8 "Other specified diseases of jaws" and M27.9 "Disease of jaws, unspecified." However, I know that M27.0 is for "development disorders of jaws" including torus mandibularis. It would seem the obvious diagnosis for removal of torus mandibularis (D7473/21031) would be M27.0--so I'm puzzled as to why it wouldn't have been listed. Is M27.0 an appropriate diagnosis? Thank you in advance; I truly appreciate it. Edited by user Friday, February 9, 2018 7:18:02 AM(UTC)
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Hi Guest!
Great question. Yes M27.0 - Developmental disorders of jaws is an appropriate diagnosis code for CPT
21031 - excision of torus mandibularis, if that is the condition that your patient has!
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Thank you so much, Courtney!
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What if tori are so large that it may be a contributing factor in a severe sleep apnea patient?
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