Hi Guest! Let”s start with the CPT (procedure) coding options: For the initial evaluation: Established patient Evaluation & Management (E&M) codes: 99212 – 10-19 mins 99213 – 20-29 mins 99214 – 30-39 mins 99215 – 40-54 mins Extraction & bone grafts: Extractions actually 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 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 Pano X-ray: 70355 – Orthopantogram (eg, panoramic x-ray) As for the muscle control plate you mentioned – could you provide a bit more detail on this service? It is a removable or fixed intra-oral appliance? Or something that is being surgically implanted? Telehealth visits: 99421 – Online digital evaluation and management service, for an established patient, for up to 7 days cumulative time during the 7 days; 5-10 minutes 99422 – 11—20 minutes 99423 – 21 or more minutes Now, as for the diagnosis (codes): F45.8 – Other somatoform disorders (bruxism) There will also be a code to describe the car accident, but i”ll need more details to offer you coding options. Was the patient the driver or passenger? What types of vehicle(s) were involved, or was it a stationary object or animal? Hope this helps.
