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CApp
#1 Posted : Monday, April 17, 2023 10:32:05 AM(UTC)
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Guest

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Hello!

We have a patient who has dental insurance that is requiring that their medical carrier review the claim before they will consider processing the claim. The patient is requiring 8 extractions and desires immediate implants and provisionalization with a fixed hybrid prosthesis.

What would the appropriate codes (excluding the extractions) that would be needed to appropriately bill for bone reduction, implant guide, multi-unit abutments, and long-term temp use?

In addition, we typically use a lab that will allow us to virtually plan treatment - is there a code that is available for this treatment plan process?

Thank you for any and all help that you can offer!
Guest
#2 Posted : Thursday, April 27, 2023 1:10:14 PM(UTC)
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Guest

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Would LOVE any assistance on this, please!
courtneydsnow
#3 Posted : Tuesday, May 9, 2023 8:23:59 AM(UTC)
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courtneydsnow

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Hi Guest!

For bone reduction:
41874 - Alveoloplasty, each quadrant (specify)

The other procedures you listed 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!
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