#256526
niermanpm
Participant

Hello. This is the same poster from above. Basically wondering if you would kindly review the following for an example implant. History of patient – is diabetic, has previous other implants, needs an extraction and new implant at #6. ICD 10 K05.30 – Chronic periodontitis, unspecified Z97.2 – Presence of dental prosthetic device (complete) (partial) E11.630 – Type 2 diabetes mellitus with periodontal disease CPT • 99213 – level 3 office or other outpatient established office patient visit for D6010 Custom implant & placement: • 21248 – Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial (3 or less) – supplemental info – JP6 for D6057 Custom abutment & placement: • 41899 – Unlisted procedure, dentoalveolar structures – modifier ZZ then for supplemental info – JP6 Custom abutment & placement (or does the narrative need to be more detailed?) for D6059 Custom implant crown & placement: • 41899 – Unlisted procedure, dentoalveolar structures – modifier ZZ then for supplemental info – JP6 Custom implant crown & placement (or does the narrative need to be more detailed?) for D7953 Bone graft: • 21210 – Graft, bone; nasal, maxillary or malar areas (includes obtaining graft) for D7951 Sinus lift crestal: • 21210 – Graft, bone; nasal, maxillary or malar areas (includes obtaining graft) for D7210 Surgical extraction: • 41899 – Unlisted procedure, dentoalveolar structures – modifier ZZ then for supplemental info – JP6 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated (More detailed?) for D7921 Coll/App autologous blood conc: • 41899 – Unlisted procedure, dentoalveolar structures – modifier ZZ then for supplemental info – Collection and application of autologous blood concentrate product (More detailed?) Is it ok to list 21210 twice? From what I can see searching, 21210 has an MUE of 2 so listing it twice appears to be ok. From your previous reply, it is allowable listing 41899 for different procedures four times. I was unable to find an MUE for 41899. Thank you again for your help.