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jbublik
#1 Posted : Thursday, October 27, 2016 9:35:00 AM(UTC)
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jbublik

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Joined: 10/16/2013(UTC)
Posts: 20

We have a patient who would like us to check on coverage for an allograft D4275 through her medical insurance. What would be the cross code for medical? Thanks!
courtneydsnow
#2 Posted : Tuesday, November 1, 2016 10:15:00 AM(UTC)
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courtneydsnow

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Hi jbublik!

D4275 = non-autogenous connective tissue graft (including recipient site and donor material) first tooth, implant, or edentulous tooth position in graft

can be crosscoded to:

41870 - Periodontal mucosal grafting

This crosscode is listed in Aetna's medical policy for "Oral Surgery Dental in Nature" policy at the link below:
https://www.aetnadental.com/professionals/pdf/oral-surgery-dental-in-nature.pdf

Hope this helps!
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