Good afternoon guest! Great question. There is not currently a specific medical code for an appliance for expanding the palate that we are aware of. However, i do not show that “21299 – Unlisted craniofacial and maxillofacial procedure” is an invalid or discontinued code, i believe it is still valid so you should be able to use it! But, some other coding options may be: E1399 – Durable medical equipment, miscellaneous 21499 – Unlisted musculoskeletal procedure, head 21089 – Unlisted maxillofacial prosthetic procedure D7947 – LeFort I (maxilla – segmented) ***use modifier -52 for reduced services to account for lack of downfracturing. A narrative report explaining the treatment accompanying the claim is recommended since they are all “by report”, “unlisted”, or “miscellaneous” codes. As for the ICD-9 codes you listed, here are the ICD-10 crosscodes for them: 350.2 ICD-10: G50.1 – Atypical facial pain 327.53 ICD-10: G47.63 – Sleep related bruxism 784.0 ICD-10: R51 – Headache 350.8 ICD-10: G50.8 – Other disorders of trigeminal nerve 350.9 ICD-10: G50.9 – Disorder of trigeminal nerve, unspecified Hope this helps, have a great day!
