Hi Christian! No problem. Just a heads up, most medical insurers do stipulate that in order for accidental injury to teeth to be covered by medical insurance, the injury needs to be to “sound, natural teeth” – so since the damage was done to a bridge, it may not be covered. Having said that, let”s start with the ICD-10 (diagnosis) coding options: For the fractured bridge: K08.530 – Fractured dental restorative material without loss of material K08.531 – Fractured dental restorative material with loss of material If there was pain due to the trauma: G89.11 – Acute pain due to trauma Now, to describe the accident, they get very specific! I understand it was the driver, depending on if the collision was with another vehicle or not and what type also affects the code. For example, here are some that may fit your case: V43.51XA – Car driver injured in collision with sport utility vehicle in traffic accident, initial encounter V43.52XA – Car driver injured in collision with other type car in traffic accident, initial encounter V43.53XA – Car driver injured in collision with pick-up truck in traffic accident, initial encounter V43.54XA – Car driver injured in collision with van in traffic accident, initial encounter If it was a collision with a stationary object, bicyclist, animal, etc – let me know and I can provide you a more specific code for the situation. Now for the procedure (CPT) coding: Implant bridges do not have a direct crosscode 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), or you can use the CPT code below and include a narrative report describing the procedure: 41899 – Unlisted procedure, dentoalveolar structures Hope this helps!
