diagnosis code for sinus lift

[niermanpm]

Hello, Having an issue with insurance company as I had a Sinus Augmentation w/bone in preparation for a tooth implant. Dental is denying stating it should be filed under medical. What is the Medical CPT code for a Sinus Augmentation with bone? The insurance is asking for the diagnosis code which is dental to be billed using a CPT medial code. Thank you for your response.

[niermanpm]

My dental insurance denied my sinus augmentations/bone graft saying it should be billed by medical The medical denied say code 21210 modifier 52 is not a billable code for b/c b/s of nc. What code should a dental provider use when billing for this sinus lift?

[Jeremy Hobbs]

sinus lift

[niermanpm]

Hi Guest! The most common diagnosis codes we see used for sinus lifts are: K08.24 – Minimal atrophy of maxilla K08.25 – Moderate atrophy of the maxilla K08.26 – Severe atrophy of the maxilla Hope this helps!

[niermanpm]

What is the Diagnosis Code for Sinus Augmentation (lift) for dental implant?

[niermanpm]

Hi Guest! Yes minimal, moderate & severe atrophy is selected based on bone height. As for a modifier for sinus lift, if bone substitue is used, modifier 52 for reduced services if CPT code 21210 (Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)) is being used. Hope this helps!

[niermanpm]

Diagnosis code for a sinus lift with implant placed how would you define minimal or moderate? does it determine on vertical D7952 for sinus lift -is there a modifier Thank you

[Author]

Posts