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  • #243983
    Jeremy Hobbs
    Keymaster

    Which codes should be billed?

    #255525
    niermanpm
    Participant

    Hi Guest! D7261 – primary closure of a sinus perforation Can be crosscoded to: 30580 – repair fistula; oromaxillary 31299 – sinus surgery procedure, unlisted D7560 – maxillary sinusotomy for removal of tooth fragment or foreign body can be crosscoded to: 31020 – Sinusotomy, maxillary (antrotomy); intranasal 31030 – Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps D9220 – deep sedation/general anesthesia – first 30 minutes Can be crosscoded to: 00170 Anesthesia for intraoral procedures, including biopsy; not otherwise specified D7210 – Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated As for extractions, there is not a direct crosscode, 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!

    #255527
    niermanpm
    Participant

    I went to an oral surgeon for the following. They are willing to bill my Medicare and Supplement plans, but they don”t know which codes to use. Are you able to assist? Thank you in advance D7210 REM IMP TOOTH W MUCOPER FLP 390.00 0.00 390.00 D7261 PRIMARY CLOSURE SINUS PERF 1610.00 0.00 1610.00 D7560 MAXILLARY SINUSOTOMY 2645.00 0.00 2645.00 D9220 GENERAL ANESTHESIA 900.00 0.00 900.00

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