Hi Guest! D0367 – Cone beam CT capture with interpretation with field of view of both jaws, with or without cranium There is actually not currently a specific CPT code for CBCT……the closest CPT code is: “70486 – Computed tomography, maxillofacial area; without contrast material”. Many offices have been using this for some time for CBCT, and some insurers require this code to be used for CBCT (i.e. UHC). However, some medical insurers are auditing that code when used for CBCT because the description does not specify “cone beam”. So, “76497 – Unlisted computed tomography procedure (eg, diagnostic, interventional)” is an option to use (keep in mind you”ll need to provide a narrative description for unlisted codes) We also see practices billing out for “76102 – Radiologic examination, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than with urography; bilateral” D0180 – Comprehensive Periodontal Evaluation – New or Established Patient can be crosscoded to: 99202 – new patient level 2 evaluation & management or 99212 – established patient level 2 evaluation & management 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(3 or less) 21249 – Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete (4 or more) D7955 – Repair of Maxillofacial Soft Tissue and/or Hard Tissue Defect can be crosscoded to: 21208 – Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) or 21270 – Malar augmentation, prosthetic material D6104 – bone graft at time of implant placement can be crosscoded to: 21210 – graft, bone; nasal, maxillary, or malar areas 21215 – graft, mandibular **use modifier -52 for reduced services when bone is not obtained from patient D2799 – provisional crown – further treatment or completion of diagnosis necessary prior to final impression D7210 – Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated D6056 – prefabricated abutment – includes modification and placement There are not direct crosscodes for extractions, crowns and abutments, 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 Now, as for the diagnosis coding portion, be sure to code both the trauma/injury to the teeth, as well as a code that explains the accident. For example, here are some commonly used trauma/injury codes: S02.5XXA – Fracture of tooth (traumatic), initial encounter for closed fracture S02.5XXB – Fracture of tooth (traumatic), initial encounter for open fracture S03.2XXA – Dislocation of tooth, initial encounter K08.411 – Partial loss of teeth due to trauma, class I K08.412 – Partial loss of teeth due to trauma, class II K08.413 – Partial loss of teeth due to trauma, class III K08.414 – Partial loss of teeth due to trauma, class IV K08.419 – Partial loss of teeth due to trauma, unspecified class And for the wakeboarding accident, here are a few options Or if the accident happened differently, if you”d like to provide me with additional details I can offer you other coding options): V94.31XA – Injury to rider of (inflatable) recreational watercraft being pulled behind other watercraft, initial encounter V94.22XA – Rider of nonpowered watercraft struck by powered watercraft, initial encounter Hope this helps! Y93.17 – Activity, water skiing and wake boarding
