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Guest
#1 Posted : Tuesday, December 27, 2022 1:59:28 PM(UTC)
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Guest

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Could 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
courtneydsnow
#2 Posted : Thursday, January 5, 2023 10:41:58 AM(UTC)
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courtneydsnow

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Hi 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!


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