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#1 Posted : Tuesday, June 14, 2022 10:32:19 AM(UTC)

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I went to an oral surgeon for the following. They are willing to bill my Medicare and Supplement plans, but they don't know which codes to use. Are you able to assist?

Thank you in advance

D7210 REM IMP TOOTH W MUCOPER FLP 390.00 0.00 390.00
D7261 PRIMARY CLOSURE SINUS PERF 1610.00 0.00 1610.00
D7560 MAXILLARY SINUSOTOMY 2645.00 0.00 2645.00
D9220 GENERAL ANESTHESIA 900.00 0.00 900.00
#2 Posted : Thursday, June 16, 2022 1:49:20 PM(UTC)

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Hi Guest!

D7261 - primary closure of a sinus perforation
Can be crosscoded to:
30580 - repair fistula; oromaxillary
31299 - sinus surgery procedure, unlisted

D7560 - maxillary sinusotomy for removal of tooth fragment or foreign body
can be crosscoded to:
31020 - Sinusotomy, maxillary (antrotomy); intranasal
31030 - Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps

D9220 - deep sedation/general anesthesia - first 30 minutes
Can be crosscoded to:
00170 Anesthesia for intraoral procedures, including biopsy; not otherwise specified

D7210 - Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated

As for extractions, there is not a direct crosscode, so you can either bill the "D" code on the medical claim (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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