DentalWriter Forum

Your central resource for DentalWriter posts, blogs, training resources, faq's, and more.

Notification

Icon
Error

New Topic Post Reply
Guest
#1 Posted : Monday, August 23, 2021 1:54:31 PM(UTC)
Quote
Guest

Rank: Guest

Joined: 9/8/2012(UTC)
Posts: 1,326

Was thanked: 16 time(s) in 15 post(s)
The patient needs all the dental codes for oral surgery with an anesthesiologist, dentist, and prosthodontist to create the all on four for the upper and lower. What would all the CPT codes be since it is a continuum of care and mixes the dental and medical insurance. They need the codes for reimbursement.
Guest
#2 Posted : Wednesday, September 22, 2021 4:48:59 PM(UTC)
Guest

Rank: Guest

Joined: 9/8/2012(UTC)
Posts: 1,326

Was thanked: 16 time(s) in 15 post(s)
Message was deleted by a Moderator. | Reason: Not specified
Guest
#3 Posted : Wednesday, September 22, 2021 4:50:47 PM(UTC)
Guest

Rank: Guest

Joined: 9/8/2012(UTC)
Posts: 1,326

Was thanked: 16 time(s) in 15 post(s)
Message was deleted by a Moderator. | Reason: Not specified
courtneydsnow
#4 Posted : Friday, September 24, 2021 8:14:42 AM(UTC)
Quote
courtneydsnow

Rank: Administration

Joined: 11/21/2012(UTC)
Posts: 1,661

Thanks: 39 times
Was thanked: 51 time(s) in 51 post(s)
Hi Guest!

It depends on what all services will be provided, but here are some common CPT codes associated with all on four:

Implants:
21248 - Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial (3 or less)
21249 - Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete (4 or more)


Bone grafts:
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


Anesthesia:
00170 - Anesthesia for intraoral procedures, including biopsy; not otherwise specified


Moderate sedation:
99152
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient’s level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older
99153
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient’s level of consciousness and physiological status; each additional 15 minutes intraservice time (list separately in addition to code for primary service)


Extractions:
Extractions actually 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


Hope this helps!
Quick Reply Show Quick Reply
New Topic Post Reply
Forum Jump  
You can post new topics in this forum.
You can reply to topics in this forum.
You can delete your posts in this forum.
You can edit your posts in this forum.
You cannot create polls in this forum.
You can vote in polls in this forum.