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Guest
#1 Posted : Tuesday, December 6, 2022 3:35:13 PM(UTC)
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Guest

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Patient has a history of full body radiation and chemotherapy as a child which has now begun to affect his permanent dentition
courtneydsnow
#2 Posted : Tuesday, December 13, 2022 1:12:07 PM(UTC)
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courtneydsnow

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Hi Guest!

D7952 - sinus augmentation via a vertical 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


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


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

Extractions do not have 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


As for the diagnosis code(s) - it all depends on why the patient is receiving the services, in other words, what conditions/symptoms are these services treating?

Here's some coding options to consider:
Z92.3 - Personal history of irradiation
Z92.21 - Personal history of antineoplastic chemotherapy


As for the damage it has caused to the teeth:
K02.3 - Arrested dental caries
K02.51 - Dental caries on pit and fissure surface limited to enamel
K02.52 - Dental caries on pit and fissure surface penetrating into dentin
K02.53 - Dental caries on pit and fissure surface penetrating into pulp
K02.61 - Dental caries on smooth surface limited to enamel
K02.62 - Dental caries on smooth surface penetrating into dentin
K02.63 - Dental caries on smooth surface penetrating into pulp
K02.7 - Dental root caries
K02.9 - Dental caries, unspecified
K03.89 - Other specified diseases of hard tissues of teeth
K04.1 - Necrosis of pulp
K04.2 - Pulp degeneration
K04.01 - Reversible pulpitis
K04.02 - Irreversible pulpitis
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
K05.311 - Chronic periodontitis, localized, slight
K05.312 - Chronic periodontitis, localized, moderate
K05.313 - Chronic periodontitis, localized, severe
K05.319 - Chronic periodontitis, localized, unspecified severity
K05.321 - Chronic periodontitis, generalized, slight
K05.322 - Chronic periodontitis, generalized, moderate
K05.323 - Chronic periodontitis, generalized, severe
K05.329 - Chronic periodontitis, generalized, unspecified severity
K05.10 - Chronic gingivitis, plaque induced
K05.11 - Chronic gingivitis, non-plaque induced
K08.89 - Other specified disorders of teeth and supporting structures

Hope this helps!
Guest
#3 Posted : Saturday, March 16, 2024 4:26:47 PM(UTC)
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The 0-51378-19 is a great valve interface board for your industrial system that will ensure efficient operation for years to come. Its use will ensure you precise control and reliable operation of your equipment. This board will be able to perform consistently and handle its work perfectly. So what are you waiting for? Hurry up and buy one for yourself.
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