Hi Guest! D7953 – bone replacement graft for ridge preservation – per site Can be cross coded to: 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 D4266 – guided tissue regeneration – resorbable barrier, per site can be cross coded to: 41870 – Periodontal mucosal grafting or 41899 – Unlisted procedure, dentoalveolar structures **include narrative report to describe the procedure D7210 – Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated There are not direct crosscodes we are aware of for extraction, so you can either use 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 D0364 – Cone beam CT capture and interpretation with limited field of view – less than one whole jaw 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, 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” or, there are some medical insurers that will process the “D” codes for procedures when there is not a specific CPT code available. Here are some diagnosis coding options for the conditions/symptoms you listed: K04.4 – Acute apical periodontitis of pulpal origin K04.5 – Chronic apical periodontitis K08.81 – Primary occlusal trauma K08.82 – Secondary occlusal trauma K05.211 – Aggressive periodontitis, localized, slight K05.212 – Aggressive periodontitis, localized, moderate K05.213 – Aggressive periodontitis, localized, severe K05.311 – Chronic periodontitis, localized, slight K05.312 – Chronic periodontitis, localized, moderate K05.313 – Chronic periodontitis, localized, severe G47.63 – Sleep related bruxism F45.8 – Other somatoform disorders J32.0 – Chronic maxillary sinusitis J32.1 – Chronic frontal sinusitis As for a previous root canal, there is not ICD coding i am aware of to signify that, unless you are reporting a complication from it, for example: M27.51 – Perforation of root canal space due to endodontic treatment K08.59 – Other unsatisfactory restoration of tooth Hope this helps!
