Hi MamaK!

No problem!

Staring with the diagnosis codes. Based on what you described, here are some options for you below:

First, your doctor will want to select at least one of the following to describe the trauma to the teeth/oral cavity:
S02.5XXA - Fracture of tooth (traumatic), initial encounter for closed fracture
S02.5XXB - Fracture of tooth (traumatic), initial encounter for open fracture
S03.2XXA - Dislocation of tooth, initial encounter
K08.411 - Partial loss of teeth due to trauma, class I
K08.412 - Partial loss of teeth due to trauma, class II
K08.413 - Partial loss of teeth due to trauma, class III
K08.414 - Partial loss of teeth due to trauma, class IV
K08.419 - Partial loss of teeth due to trauma, unspecified class

Second, how the accident happened (and thank you for the details, they're very helpful!)
W08.XXXA - Fall from other furniture, initial encounter
W18.09XA - Striking against other object with subsequent fall, initial encounter

And possible pain codes to accompany:
G89.11 - Acute pain due to trauma



Now, as for the procedure codes:

D7911 stands for: complicated suture - up to 5 cm
can be crosscoded to:
40831 - Closure of laceration, vestibule of mouth; over 2.5 cm or complex


D9420 stands for: hospital or ambulatory surgical center call
can be crosscoded to:
99281 - Emergency department visit (level 1)
99282 - Emergency department visit (level 2)


D0220 - intraoral - periapical first radiographic image
can be cross coded to:
70300 - Radiologic examination, teeth; single view


D0230 - intraoral - periapical each additional radiographic image
Can be cross coded to:
70310 - Radiologic examination, teeth; partial examination, less than full mouth


D7140 - Extraction, erupted tooth or exposed root (elevation and/or forceps removal)

There are not direct crosscodes we are aware of for extractions, so you can either use 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


D0140 - limited oral evaluation - problem focused
Can be crosscoded to:
99201 - Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.
or
99211 - Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. Usually, the presenting problem(s) are minimal. Typically, 5 minutes are spent performing or supervising these services.


Hope this helps!