Nierman Practice Management (Home) › Forums › Dental to Medical Billing, Coding & Documentation › CPT codes for bone grafting
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05/01/2023 at 12:00 am #255395
niermanpm
ParticipantHi Guest! D4273 – autogenous connective tissue graft procedure (including donor and recipient surgical sites) first tooth, implant, or edentulous tooth position in graft D4283 – autogenous connective tissue graft procedure (including donor and recipient surgical sites) – each additional contiguous tooth, implant or edentulous tooth position in same graft site can be cross coded to: 41870 – Periodontal mucosal grafting D9239 – Intravenous moderate (conscious) sedation/anesthesia – first 15 minutes D9243 – Intravenous moderate (conscious) sedation/analgesia – each 15 minute increment can be crosscoded to: 99152 Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient’s level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older and 99153 Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient’s level of consciousness and physiological status; each additional 15 minutes intraservice time (list separately in addition to code for primary service) D4265 – biologic materials to aid in soft and osseous tissue regeneration The codes listed above do not have direct crosscodes 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 use the CPT code below and include a narrative report describing the procedure: 41899 – Unlisted procedure, dentoalveolar structures Hope this helps!
06/12/2024 at 3:10 pm #243943Jeremy Hobbs
KeymasterD4273, D4283, D4265, D9239, D9243
08/01/2024 at 7:14 pm #255397niermanpm
ParticipantCould you please give me medical codes for the following: D4273, Autgen con tiss graft, 1st tooth D4283 Autgen con tiss graft, each additional tooth D4265 Bio mat, soft and osseous tissue regeneration D9239 Intravn cons sed/analg – 1st 15 minutes D9243 IV con sed/Analg – each 15 minutes Patient has gum recession due to Kidney disease/failure. Thank you
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