Hi guest! D7210 – surgical removal of erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated The code listed above have a direct crosscode we are aware of, 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 try the CPT code below and include a narrative report describing the procedure: 41899 – Unlisted procedure, dentoalveolar structures D7950 – osseous, osteoperiosteal, or cartilage graft of the mandible or maxilla – autogenous or nonautogenous, by report can be crosscoded to: 21210 – Graft, bone; nasal, maxillary or malar areas (includes obtaining graft) 21215 – Graft, bone; mandible (includes obtaining graft) *The modifier -52 for “reduced services” can be used when bone is not obtained from the patient. D6010 – surgical placement of implant body: endosteal implant can be crosscoded to: 21248 Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial 21249 Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete As for the sinus lift: D7951 – sinus augmentation with bone or bone substitutes via a lateral open approach D7952 – sinus augmentation via a vertical approach 21210 – graft, bone; nasal, maxillary, or malar areas or 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 try the CPT code below and include a narrative report describing the procedure: 21299 – Unlisted craniofacial and maxillofacial procedure So – some insurers will prefer you use the CPT codes for the bone graft at time of implant placement and the sinus augmentation, but you will also find insurers that will prefer you use the “D” codes listed above on the medical claim form when billing for these procedures! Also, some insurers may consider these procedures “Dental in Nature Oral Surgery” services, depending on their medical policies guidelines. For example, here is a link to Aetna”s medical policy titled “Dental Services and Oral and Maxillofacial Surgery: Coverage Under Medical Plans”, and include sinus lifts: Here is another example, UHC Oxford policy titled “DENTAL AND ORAL SURGICAL PROCEDURES” Hope this helps, have a great day!
