Hi Barbara Henson! Based on what you described, here are some CPT (procedure) coding options for you: For the bone graft: 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 For the implant: 21248 – Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial (3 or less) Extractions do not have 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 You will also need ICD-10 (diagnosis) codes to describe the injury to the teeth and how it happened. Based on what you described, here are some coding options: S02.5XXB – Fracture of tooth (traumatic), initial encounter for open fracture G89.11 – Acute pain due to trauma W01.0XXA – Fall on same level from slipping, tripping and stumbling without subsequent striking against object, initial encounter Hope this helps!
