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Last 10 Posts (In reverse order)
courtneydsnow Posted: Tuesday, June 21, 2022 8:15:31 AM(UTC)
 
Hi Guest!

No problem, it's on its way!
Guest Posted: Friday, June 17, 2022 2:05:00 PM(UTC)
 
Could I get that PowerPoint also?? Thank you, super helpful! Emily.l.tuomey@gmail.com
Guest Posted: Friday, June 17, 2022 2:02:56 PM(UTC)
 
Could I also get that PowerPoint???? It’d be tremendously helpful— thank you!! Emily.l.tuomey@gmail.com
courtneydsnow Posted: Friday, June 3, 2022 3:17:52 PM(UTC)
 
Hi TWISTEDWORDS!

Let's start with converting the ADA codes you provided to CPT codes:

D7473 - removal of torus mandibularis
can be crosscoded to:
21031 - Excision of torus mandibular


D7953 - bone replacement graft for ridge preservation - per site
and
D6104 - bone graft at time of implant placement
Can be cross coded to:
21210 - Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)
21215 - Graft, bone; mandible (includes obtaining graft)
**use modifier -52 for reduced services when bone is not obtained from patient


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


As for the ICD-10 (diagnosis) codes - it all depends on why the patient is receiving the services, in other words, what conditions/symptoms are these services treating?

For an example, if there was accidental injury that caused the patient to lose teeth, there are codes in indicate loss of teeth due to trauma, acute pain, and how the accident happened.

If you'd like to reply to me with details on the condition/symptoms, i'm happy to provide some coding options.
TWISTEDWORDS Posted: Thursday, June 2, 2022 4:47:33 PM(UTC)
 
Ive had extensive dental work done (complete oral reconstruction). My current dentist does not haven will they assist me in converting their ADA codes to ICD10 codes. I have spent hours upon hours trying to get this accomplished, search coding online, purchased the CDT2022 app for my phone, called my Dental Provider.....EVERYTHING!

Is there somebody on here that could give me an ADA Code to ICD10 Code conversion sheet? I understand there are certain circumstances that apply and that ICD10 Codes are for diagnosis, and the ADA codes are for procedures. Here are just a few examples of. what has been done:

D7473
D7210
D7953
D6104


PLEASE HELP, and THANK YOU!
TWISTEDWORDS Posted: Thursday, June 2, 2022 4:40:22 PM(UTC)
 
[quote=mbrzezinski;1997]Hi Guest!

Classification System for the Completely Edentulous Patient
Class I - Ideal or minimally compromised
Class II - Moderately compromised
Class III - Substantially compromised
Class IV - Severely compromised

Diagnostic Criteria
1. Bone height - mandibular
2. Maxillomandibular relationship
3. Residual ridge morphology-maxilla
4. muscle attachments

I have a powerpoint on the classification I would be happy to send to you. Just send me your email.

Hope this helps!

3twistedwords@gmail.com
courtneydsnow Posted: Monday, February 28, 2022 3:59:17 PM(UTC)
 
Hi Guest!

It may have been a typo, but the CPT code should be 21249 instead of 20249 (20249 is not a valid CPT code).

C76.0 stands for: Malignant neoplasm of head, face and neck
C05.0 stands for: Malignant neoplasm of hard palate

21249 stands for: Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete (4 or more)


If the neoplasm was on the the hard palate only, you do not need C76.0.

There are no standard modifiers to use on 21249.

When you say you're having trouble getting it on file/processed, what type of denial or rejection responses are you receiving? And just to be sure, are you billing for endosteal implants, or a palatal obturator?





Guest Posted: Monday, February 28, 2022 12:40:50 PM(UTC)
 
hello,

i am trying tp bill implant code 20249 for dx codes C76.0 and C050 - Malignant neoplasm of palate - palate removed due to cancer....i am having trouble getting it on file/processed.

can you tell me what modifiers might be used or any info on how to bill this?

thanks for any help!
courtneydsnow Posted: Friday, January 28, 2022 5:38:46 PM(UTC)
 
Hi Guest!

No problem it's on its way!
Guest Posted: Thursday, January 20, 2022 11:51:57 AM(UTC)
 
Hello. do you still have the power point? Would you please send to dsou@fairfaxoralsurgery.com?

Thanks! :)