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Hi, I am scheduled for for Periodontal surgery on 3/29/16. I have Humana Medicare insurance and have been told that is was a covered procedure and gave me the code of 41899 to use. They told me that this is because they will be doing oral medical surgery.However the Periodontal office has no idea what medical code to use for this. I am having a bone graft done to replace missing bone under tooth 30 in my right lower jaw. I would greatly appreciate any help you can give me. Sincerely, Renee
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Rank: Administration
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Hi guest!
The CPT code they gave you for the perio services, 41899 stands for: Unlisted procedure, dentoalveolar structures
So the office will need to supply you with a narrative report/operative report to describe the procedure since it is an "unlisted/miscellaneous" code.
As for the the bone graft:
21210 - Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)
or
21215 - Graft, bone; mandible (includes obtaining graft)
Since it is tooth 30, looks like the 21215 would be the proper code.
Also, you will want to use modifier -52 for reduced services if the bone is not obtained from the patient.
Hope this helps, have a great day!
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