Rank: Guest
Joined: 9/8/2012(UTC)
Posts: 16,810
Was thanked: 16 time(s) in 15 post(s)
|
Because we are a dental office we don't use medical codes but for one patient who wanted to use his medical for implant and bone graft I submitted 21248 and 21215-52 but now they are asking for valid ICD 10 code!! Could you please help me with the codes
|
|
|
|
|
|
Rank: Administration
Joined: 11/21/2012(UTC)
Posts: 1,611
Thanks: 39 times
Was thanked: 51 time(s) in 51 post(s)
|
Hi Guest!
The ICD-10 diagnosis code(s) for these services will depend on the patient's condition and why the services were done.
For example, if the bone grafts and implants were done due to atrophy, you may end up using one of the following:
K08.21 - Minimal atrophy of the mandible
K08.22 - Moderate atrophy of the mandible
K08.23 - Severe atrophy of the mandible
K08.24 - Minimal atrophy of maxilla
K08.25 - Moderate atrophy of the maxilla
K08.26 - Severe atrophy of the maxilla
If it is being done for another reason (i.e. accident, loss of teeth, etc), let me know and I can offer you some coding options.
Hope this helps!
|
|
|
|
|
|
Rank: Guest
Joined: 9/8/2012(UTC)
Posts: 16,810
Was thanked: 16 time(s) in 15 post(s)
|
Question: We are a dental office submitting to medical for a denial to turn around to dental for payment. Medical is requesting an ICD Diagnosis Indicator. The implant and bonegraft are due to congenital condition. Do you know what the diagnosis indicator would be for this procedure?
thank you in advance!!!!
|
|
|
|
|
|
Rank: Advanced Member
Joined: 7/22/2014(UTC)
Posts: 92
Was thanked: 1 time(s) in 1 post(s)
|
Hi Danielle!
An ICD indicator refers to ICD-9 or ICD-10. On the CMS 1500 claim form in box 24 in the upper right hand corner you will want to include 0 for 10.
Hope this helps!
|
|
|
|
|
|
Rank: Guest
Joined: 9/8/2012(UTC)
Posts: 16,810
Was thanked: 16 time(s) in 15 post(s)
|
Hi,
I am billing for implants and implant over denture as well as ct scan, I am working with workers comp so they are asking for icd-codes, I bill for dental not medical so I am completely lost. Can you help?
|
|
|
|
|
|
Rank: Administration
Joined: 11/21/2012(UTC)
Posts: 1,611
Thanks: 39 times
Was thanked: 51 time(s) in 51 post(s)
|
Hi Guest!
Basically, to select the appropriate diagnosis code(s), the question is: why is the patient getting these services?
For example, if it was due to an accident, there are thousands of codes to describe the specific accidents and damage done due to the accident. (if this was an accident case, let me know some details about the accident and I can supply you with some coding options).
Another example, many times implants are done due to atrophy. If that is the case, here are some coding options for you:
K08.21 - Minimal atrophy of the mandible
K08.22 - Moderate atrophy of the mandible
K08.23 - Severe atrophy of the mandible
K08.24 - Minimal atrophy of maxilla
K08.25 - Moderate atrophy of the maxilla
K08.26 - Severe atrophy of the maxilla
If the services are being done for another reason, let me know and I will offer you some coding options.
Hope this helps!
|
|
|
|
|
|
Rank: Guest
Joined: 9/8/2012(UTC)
Posts: 16,810
Was thanked: 16 time(s) in 15 post(s)
|
Hi, I'm new to submitting to medical insurances. I'm lost in filling out the form. Have a patient that had a cracked tooth. I did the extraction, implant, bone graft and placed a membrane with sutures. What codes and diagnostic codes should I use? Any modifiers and diagnosis pointers? Thanks so much. Edited by user Tuesday, September 12, 2017 2:49:54 PM(UTC)
| Reason: additional information added
|
|
|
|
|
|
Rank: Guest
Joined: 9/8/2012(UTC)
Posts: 16,810
Was thanked: 16 time(s) in 15 post(s)
|
What would an ICD 10 code be for implant placement of an extracted tooth.
I'm helping bill medical and need the ICD 10 code, since we do not encounter this often I do not know which code to use.
|
|
|
|
|
|
Rank: Administration
Joined: 11/21/2012(UTC)
Posts: 1,611
Thanks: 39 times
Was thanked: 51 time(s) in 51 post(s)
|
Hi Guest!
Here are some coding options for you below:
K08.491 - Partial loss of teeth due to other specified cause, class I
K08.492 - Partial loss of teeth due to other specified cause, class II
K08.493 - Partial loss of teeth due to other specified cause, class III
K08.494 - Partial loss of teeth due to other specified cause, class IV
K08.499 - Partial loss of teeth due to other specified cause, unspecified
Hope this helps!
|
|
|
|
|
|
Rank: Guest
Joined: 9/8/2012(UTC)
Posts: 16,810
Was thanked: 16 time(s) in 15 post(s)
|
What do the different class' mean?
|
|
|
|
|
|
Forum Jump
You can post new topics in this forum.
You can reply to topics in this forum.
You can delete your posts in this forum.
You can edit your posts in this forum.
You cannot create polls in this forum.
You can vote in polls in this forum.