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Last 10 Posts (In reverse order)
Guest Posted: Friday, September 8, 2023 12:49:37 PM(UTC)
 
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?
Guest Posted: Thursday, July 6, 2023 6:32:08 AM(UTC)
 
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.
courtneydsnow Posted: Friday, March 17, 2023 4:32:53 PM(UTC)
 
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!
Guest Posted: Friday, January 13, 2023 10:28:01 AM(UTC)
 
What is the Diagnosis Code for Sinus Augmentation (lift) for dental implant?
courtneydsnow Posted: Tuesday, May 24, 2022 9:08:44 AM(UTC)
 
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!
Guest Posted: Thursday, May 19, 2022 5:04:57 PM(UTC)
 
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