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 : Tuesday, May 30, 2023 10:56:34 AM(UTC)
Quote
Guest

Rank: Guest

Joined: 9/8/2012(UTC)
Posts: 2,806

Was thanked: 16 time(s) in 15 post(s)
Looking for ICD-10 and CPT Codes for the following. Reviewing other posts, it seems reason for procedure is relevant. Expansile periapical granuloma.

D7957
D6101
D7201
D6011
D4266
D7951
D6240
D6057
D9222
D7210









courtneydsnow
#2 Posted : Thursday, June 1, 2023 8:38:24 AM(UTC)
Quote
courtneydsnow

Rank: Administration

Joined: 11/21/2012(UTC)
Posts: 1,611

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

D7201 - i don't show this as a valid current CDT code
did you perhaps mean to type D7210? (extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated)


D7951 - sinus augmentation with bone or bone substitutes via a lateral open approach
for an upper tooth, can be cross coded to:
21210 - Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)
**use modifier -52 for reduced services when bone is not obtained from patient


D9222 – deep sedation/general anesthesia – first 15 minutes
can be crosscoded to:
00170 - Anesthesia for intraoral procedures, including biopsy; not otherwise specified


D6011 - surgical access to an implant body (second stage implant surgery)
D7957 - guided tissue regeneration, edentulous area – non-resorbable barrier, per site
D4266 - guided tissue regeneration - resorbable barrier, per site
D6101 - debridement of a peri-implant defect or defects surrounding a single implant, and surface cleaning of the exposed implant surfaces, including flap entry and closure
D6240 - pontic - porcelain fused to high noble metal
D6057 - custom fabricated abutment – includes placement
D7210 - Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated

The codes listed above do not have direct crosscodes we are aware of, 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), but for the medical insurers who won't accept the "D" codes, you can try the CPT code below and include a narrative report describing the procedure:
41899 - Unlisted procedure, dentoalveolar structures


As for the ICD-10 diagnosis code for expansile periapical granuloma:
K13.79 - Granuloma and granuloma-like lesions of oral mucosa


Hope this helps!
Guest
#3 Posted : Monday, July 24, 2023 11:48:06 AM(UTC)
Quote
Guest

Rank: Guest

Joined: 9/8/2012(UTC)
Posts: 2,806

Was thanked: 16 time(s) in 15 post(s)
Thank you.

Working with Medicare and looking for additional codes for the following:

D6010
D7260

Thoughts on D9239
D9243
D9222
D9223

All coded with 00170

Thank you again.
Guest
#4 Posted : Monday, July 24, 2023 12:03:48 PM(UTC)
Quote
Guest

Rank: Guest

Joined: 9/8/2012(UTC)
Posts: 2,806

Was thanked: 16 time(s) in 15 post(s)
Sorry. One more CPT code for D7451
courtneydsnow
#5 Posted : Monday, July 31, 2023 9:09:45 AM(UTC)
Quote
courtneydsnow

Rank: Administration

Joined: 11/21/2012(UTC)
Posts: 1,611

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

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


D7260 - oroantral fistula closure
can be crosscoded to:
30580 - repair fistula; oromaxillary


D9243 - Intravenous moderate (conscious) sedation/analgesia – each 15 minute increment
and
D9239 - Intravenous moderate (conscious) sedation/anesthesia – first 15 minutes
can be crosscoded to:

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

and

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)


D9222 – deep sedation/general anesthesia – first 15 minutes
and
D9223 – deep sedation/general anesthesia – each additional 15 minutes
can be crosscoded to:

00170 - Anesthesia for intraoral procedures, including biopsy; not otherwise specified
00172 - Anesthesia for intraoral procedures, including biopsy; repair of cleft palate
00174 - Anesthesia for intraoral procedures, including biopsy; excision of retropharyngeal tumor
00176 - Anesthesia for intraoral procedures, including biopsy; radical surgery


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.